Brain metastases from apocrine carcinoma of the scalp : case report

Apocrine carcinoma is an extremely rare malignant neoplasm that occurs most frequently in the axilla. Although it usually shows an indolent clinical course, it often metastasizes to regional lymph nodes and sometimes to lungs or bones. However, a literature search did not reveal any report describin...

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Bibliographic Details
Published in:Journal of neuro-oncology 2006-05, Vol.77 (3), p.285-289
Main Authors: SHIMATO, Shinji, WAKABAYASHI, Toshihiko, YOSHIDA, Jun, MIZUNO, Masaaki, NAKAHARA, Norimoto, HATANO, Hisashi, NATSUME, Atsushi, ISHII, Dai, HASEGAWA, Yasuhisa, HYODO, Ikuo, NAGASAKA, Tetsuro
Format: Article
Language:English
Subjects:
Apocrine Glands - pathology
Biological and medical sciences
Brain Neoplasms - secondary
Brain Neoplasms - surgery
Carcinoma - secondary
Carcinoma - surgery
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Fatal Outcome
Frontal Lobe - pathology
Frontal Lobe - surgery
Humans
Lung Neoplasms - drug therapy
Lung Neoplasms - secondary
Male
Medical sciences
Middle Aged
Neurology
Occipital Lobe - pathology
Occipital Lobe - surgery
Scalp - pathology
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Tumors of the nervous system. Phacomatoses
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Summary:Apocrine carcinoma is an extremely rare malignant neoplasm that occurs most frequently in the axilla. Although it usually shows an indolent clinical course, it often metastasizes to regional lymph nodes and sometimes to lungs or bones. However, a literature search did not reveal any report describing the detailed clinical course of brain metastases from apocrine carcinoma. We report a case of a 54-year-old male who suffered from multiple brain metastases from apocrine carcinoma that had originated in the scalp 6 years before. The brain metastases appeared in spite of several regimens of chemotherapy for lung metastases for two years. The tumor in the right frontal lobe was successfully operated. However, the small tumor in the right occipital lobe was not cured by gamma knife surgery, and eventually required second operation. The operation had contributed to his neurologically independent life for about one year until he died for gradual progression of lung metastases. To our knowledge this is the first reported case of metastatic brain tumor from apocrine carcinoma.
ISSN:0167-594X
1573-7373
DOI:10.1007/s11060-005-9039-3