Corioepitelioma com metástases cerebrais

Pimentel, Pedro Camilo A.; Jaramilo, Adalberto Agamez; Valente, Carlos Alberto; Pupo, Paulo Pinto

doi:10.1590/S0004-282X1972000200010

Resumos

Os autores relatam um caso de metástases cerebrais de corioepitelioma em paciente de 30 anos de idade, internada por apresentar um tumor abdominal, amenorréia e cefaléia. O diagnóstico inicial fôra de gravidez normal e neoplasia do trato digestivo. Após breve revisão da literatura são comentadas as repercussões neurológicas deste tipo de neoplasia.

A case of cerebral metastatic chorionepithelioma, with post-mortem examination in a 30 years old female patient having an abdominal tumor, amenorrhea and headache is reported. The initial diagnosis was that of normal pregnancy and neoplasm of the digestive tract. A review of the literature is made and the neurological repercussion of this tumor is discussed.

Corioepitelioma com metástases cerebrais

Chorionepithelioma with brain metastases

Pedro Camilo A. Pimentel^I; Adalberto Agamez Jaramilo^II; Carlos Alberto Valente^III; Paulo Pinto Pupo^IV

^IDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Assistente voluntário

^IIDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Residente do Departamento de Ginecologia e Obstetrícia

^IIIDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Residente de Clínica Cirúrgica

^IVDepartamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina: Prof. Titular de Neurologia

RESUMO

Os autores relatam um caso de metástases cerebrais de corioepitelioma em paciente de 30 anos de idade, internada por apresentar um tumor abdominal, amenorréia e cefaléia. O diagnóstico inicial fôra de gravidez normal e neoplasia do trato digestivo. Após breve revisão da literatura são comentadas as repercussões neurológicas deste tipo de neoplasia.

SUMMARY

A case of cerebral metastatic chorionepithelioma, with post-mortem examination in a 30 years old female patient having an abdominal tumor, amenorrhea and headache is reported. The initial diagnosis was that of normal pregnancy and neoplasm of the digestive tract. A review of the literature is made and the neurological repercussion of this tumor is discussed.

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Departamento de Neurologia e Neurocirurgia Escola Paulista de Medicina Caixa Postal 5496 01000 São Paulo, SP Brasil,

1. ACOSTA-SISON, H. Extensive cerebral hemorrhage caused by the rupture of a cerebral blood vessel due to a chorionepithelioma embolus. Amer. J. Obst. Gynec. 71:1119, 1956.
2. ACOSTA-SISON, H. The relative frequency of various anatomic sites as the point of first metastasis in 32 cases of chorionepithelioma. Amer. J. Obst. Gynec. 75:1149, 1958.
3. AGUILAR, M. J. & RABINOVITCH, R. Metastatic chorionepithelioma simulating multiple strokes. Neurology (Minneapolis) 14:933, 1964.
4. CANLAS, B. A clinico-pathologic study of 43 autopsied cases of choriocarcionoma in females with emphazis on clinically undiagnosed cases. J. Manilla Med. Soc. 3:187, 1965.
5. LESSE, S. & NETKY, M. G. Metastasis of neoplasms to the central nervous system and meninges. Arch. Neurol. Psychiat. (Chicago) 72, 133, 1954.
6. MONTANINI, R. Le neoplasie metastatiche cerebrali. Osservazioni semeiologiche e cliniche. Omnia Med. Therap. (Pisa), suppl. 37:3, 1960.
7. MOSCATELLI, G. & GIUFFRÉ, R. Atipico quadro clinico dovuto a metastasi encefaliche da coriepitelioma ovarico. Minerva Neurochirur. 9:206, 1965.
8. STORTEBEGKER, T. P. Metastatic tumors of the brain from a neurosurgical point of view. A follow-up study of 158 cases. J. Neurosurg. 11:84, 1954.
9. TUPASI, T. E.; VEYRA JR., E. A.; PEREZ, M. C. & AGUSTINES, M. R. Neurologic manifestation in metastatic choriocarcinoma. Proc. Australian Ass. Neurologists 5:453, 1968.
10. VAUGHAN JR., H. C. & HOWARD, R. G. Intracranial hemorrhage due to metastatic chorionepithelioma. Neurology (Minneapolis) 12:771, 1962.
11. ZANDER, E.; ROSSEL, G. & CURCHOD, A. Métastase cérébrale d'un chorio-épithélioma. Gynaecologia 152:401, 1961.

Datas de Publicação

Publicação nesta coleção
17 Abr 2013
Data do Fascículo
Jun 1972

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[1] 1. ACOSTA-SISON, H. Extensive cerebral hemorrhage caused by the rupture of a cerebral blood vessel due to a chorionepithelioma embolus. Amer. J. Obst. Gynec. 71:1119, 1956.

[2] 2. ACOSTA-SISON, H. The relative frequency of various anatomic sites as the point of first metastasis in 32 cases of chorionepithelioma. Amer. J. Obst. Gynec. 75:1149, 1958.

[3] 3. AGUILAR, M. J. & RABINOVITCH, R. Metastatic chorionepithelioma simulating multiple strokes. Neurology (Minneapolis) 14:933, 1964.

[4] 4. CANLAS, B. A clinico-pathologic study of 43 autopsied cases of choriocarcionoma in females with emphazis on clinically undiagnosed cases. J. Manilla Med. Soc. 3:187, 1965.

[5] 5. LESSE, S. & NETKY, M. G. Metastasis of neoplasms to the central nervous system and meninges. Arch. Neurol. Psychiat. (Chicago) 72, 133, 1954.

[6] 6. MONTANINI, R. Le neoplasie metastatiche cerebrali. Osservazioni semeiologiche e cliniche. Omnia Med. Therap. (Pisa), suppl. 37:3, 1960.

[7] 7. MOSCATELLI, G. & GIUFFRÉ, R. Atipico quadro clinico dovuto a metastasi encefaliche da coriepitelioma ovarico. Minerva Neurochirur. 9:206, 1965.

[8] 8. STORTEBEGKER, T. P. Metastatic tumors of the brain from a neurosurgical point of view. A follow-up study of 158 cases. J. Neurosurg. 11:84, 1954.

[9] 9. TUPASI, T. E.; VEYRA JR., E. A.; PEREZ, M. C. & AGUSTINES, M. R. Neurologic manifestation in metastatic choriocarcinoma. Proc. Australian Ass. Neurologists 5:453, 1968.

[10] 10. VAUGHAN JR., H. C. & HOWARD, R. G. Intracranial hemorrhage due to metastatic chorionepithelioma. Neurology (Minneapolis) 12:771, 1962.

[11] 11. ZANDER, E.; ROSSEL, G. & CURCHOD, A. Métastase cérébrale d'un chorio-épithélioma. Gynaecologia 152:401, 1961.