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Chest clinic
Images in Thorax
‘Turban-like’ skull metastasis from pulmonary adenocarcinoma
  1. Maria Cecilia Mengoli1,
  2. Giulio Rossi2,
  3. Marcello Tiseo3,
  4. Fausto Barbieri4,
  5. Micol Pifferi5,
  6. Federica Bertolini4,
  7. Filippo Lococo6
  1. 1 Pathology Unit, University Hospital Policlinico of Modena, Modena, Italy
  2. 2 Pathology Unit, Azienda USL Valle d'Aosta, Hospital “Parini”, Aosta, Italy
  3. 3 Unit of Oncology, University Hospital of Parma, Parma, Italy
  4. 4 Department of Oncology, University Hospital Policlinico of Modena, Modena, Italy
  5. 5 Unit of Oncology, Hospital of Sassuolo, Modena, Italy
  6. 6 Unit of Thoracic Surgery, Arcispedale Santa Maria Nuova-IRCCS of Reggio Emilia, Reggio Emilia, Italy
  1. Correspondence to Dr Filippo Lococo, Unit of Thoracic Surgery, Arcispedale Santa Maria Nuova-IRCCS of Reggio Emilia, via Risorgimento 80, Reggio Emilia 42100, Italy; filippo.lococo{at}asmn.re.it

https://doi.org/10.1136/thoraxjnl-2016-209409

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    A 55-year-old woman presented with a progressive psychomotor impairment. She spoke slowly and her motor retardation interfered with activities of daily living. The patient reported that 5 months earlier, she had experienced blunt force trauma of vertex with a progressive swelling of the head. At the time of presentation, a painful, fixed and hard lesion was detected at palpation. Encephalic CT and MRI revealed an osteolytic mass of the skull of 10 cm in maximum diameter, infiltrating the left frontoparietal bones with calcifications (figure 1A, B). The lesion caused a mass effect, without infiltration of the brain parenchyma. A whole-body …

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    Footnotes

    • Contributors MCM conceived and wrote the manuscript. GR performed the pathological evaluation. MT performed the literature review. FB supported in the comprehension of the oncological aspects. MP collected radiological imaging. FB was involved in the oncological cares of the patient. FL wrote along with MCM the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.