A 65-year-old man with spinal mass at autopsy.

摘要

A 65-year-old man was diagnosed with esophageal adenocarcinoma with metastases to liver and lungs in July of 2001. Because of metastatic disease, he was not deemed to be a candidate for surgical resection but was given radiation and chemotherapy. Seven months later he presented with an 8 X 5 X 3.5 cm frontal, transcalvarial metastatic lesion. Past medical history includes cholecystectomy, appendectomy, osteoarthritis, left hemi-pelvectomy following a motor vehicle accident in 1970, and smoking with intermittent alcohol abuse since the age of 15 years. His clinical course continued to deteriorate and he eventually expired in December of 2002. An autopsy revealed widespread metastatic adenocarcinoma to the lungs, liver and calvarium with superficial extension into the dorsal surface of the frontal lobes, bilaterally. An acute, severe bronchopneumonia was also found.