Metastatic Lung Carcinoma to Skull, an Atypical Presentation with Atypical Radiologic Features: A Case Report

Arturs Balodis^{1, 2,} , Davis Simanis Putrins¹, Julija Dolgopolova³, Inese Briede⁴, Renars Putnins³ and Ginta Balode⁵

¹Institute of Diagnostic Radiology, Pauls Stradins Clinical University Hospital, Riga, Latvia

²Department of Radiology, Riga Stradins University, Riga, Latvia

³Department of Neurosurgery, Pauls Stradins Clinical University Hospital, Riga, Latvia

⁴Department of Pathology, Pauls Stradins Clinical University Hospital, Riga, Latvia

⁵Department of Infectology, Riga Stradins University, Riga, Latvia

Cite this paper:
Arturs Balodis, Davis Simanis Putrins, Julija Dolgopolova, Inese Briede, Renars Putnins and Ginta Balode. Metastatic Lung Carcinoma to Skull, an Atypical Presentation with Atypical Radiologic Features: A Case Report. American Journal of Medical Case Reports. 2020; 8(11):394-396. doi: 10.12691/ajmcr-8-11-4

Abstract

A 65-year-old male patient was referred to a university hospital with a skull mass and previous history of left lung carcinoma, although a left sided pneumonectomy had been performed two years ago. The large solitary extra-axial, intra- and extra-osseous skull mass exhibited uncharacteristic radiologic features that were atypical for all of the proposed differential diagnoses, which included metastasis, atypical meningioma, and osteosarcoma. An incomplete patient history also made the radiologic diagnosis more difficult. In the end a tumour excision was performed and the tissue morphology and immunohistochemical properties examined, and the diagnosis of a metastatic lung carcinoma to the skull was confirmed.

Keywords:
skull mass metastasis lung carcinoma

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