[Haemorrhagic brain metastasis from prostatic adenocarcinoma]. / Metastasis cerebral hemorragica de adenocarcinoma prostatico.

INTRODUCTION: Prostatic adenocarcinomas have a marked tendency to spread to lymph nodes and bones, with occasional internal organ metastases. Brain metastases from prostatic carcinomas are rare. CASE REPORT: We report the case of a patient with haemorrhagic brain metastasis from prostatic adenocarcinoma, which was initially considered to be a parenchymatous brain haemorrhage. The possible ways by which it can spread, the difficulty involved in interpreting the images and the role played by a biopsy with immunostaining in reaching a final diagnosis are also discussed. CONCLUSIONS: Perhaps the most significant aspect of this case was the 13 year period that elapsed between diagnosis of the primary tumour and brain metastasis, the absence of spreading to lymph nodes and the localised, intrapelvic, aspect of the bone lesion that was detected.

Metástasis cerebral hemorrágica de adenocarcinoma prostático / Haemorrhagic brain metastasis from prostatic adenocarcinoma

Introducción. Los adenocarcinomas prostáticos se diseminan preferentemente a ganglios linfáticos y huesos, con ocasionales metástasis viscerales. Las metástasis encefálicas de carcinomas prostáticos son raras. Caso clínico. Informamos el caso de un paciente con metástasis cerebral hemorrágica de adenocarcinoma prostático, considerada inicialmente como hemorragia cerebral parenquimatosa. Discutimos las posibles vías de diseminación, la dificultad en la interpretación de las imágenes y la contribución de la biopsia con inmunomarcación para el diagnóstico definitivo. Conclusiones. El caso resultó relevante por los 13 años transcurridos entre el diagnóstico del tumor primario y la metástasis cerebral, la ausencia de diseminación ganglionar linfática y el aspecto localizado, intrapélvico, de la lesión ósea detectada (AU)

Introduction. Prostatic adenocarcinomas have a marked tendency to spread to lymph nodes and bones, with occasional internal organ metastases. Brain metastases from prostatic carcinomas are rare. Case report. We report the case of a patient with haemorrhagic brain metastasis from prostatic adenocarcinoma, which was initially considered to be a parenchymatous brain haemorrhage. The possible ways by which it can spread, the difficulty involved in interpreting the images and the role played by a biopsy with immunostaining in reaching a final diagnosis are also discussed. Conclusions. Perhaps the most significant aspect of this case was the 13-year period that elapsed between diagnosis of the primary tumour and brain metastasis, the absence of spreading to lymph nodes and the localised, intrapelvic, aspect of the bone lesion that was detected (AU)