Lung carcinoma metastasis presenting as a pineal region tumor

Samanci Y., Iplikcioglu C., Ozek E., Ozcan D., Marangozoglu B.

NEUROCIRUGIA, vol.22, no.6, pp.579-582, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 6
  • Publication Date: 2011
  • Doi Number: 10.4321/s1130-14732011000600013
  • Journal Name: NEUROCIRUGIA
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.579-582


The pineal region is an unusual site for brain metastasis and most metastatic pineal lesions are asymptomatic. A 53 year-old man presented with severe headache, limitation of upward gaze and diplopia. The patient's neurological examination was unremarkable. Magnetic resonance imaging (MRI) scans of the brain demonstrated a 1,5 x 2 cm well demarcated solitary mass in the pineal region with hydrocephalus. Surgery was performed and adenocarcinoma was diagnosed. A systemic investigation revealed adenocarcinoma of the lung as primary lesion. Although rare, metastatic tumor should be considered in the differential diagnosis of pineal region tumors.