Case of the month: October 1998 - 61 year old male with brain tumor and oral, lung, and palpebral masses

In Jan. 97 a gliosarcoma was diagnosed in a 61-year-old man after a 6-month history with neurological deficits. A total physical examination, laborato ry tests, chest x-ray and abdominal ultrasound scanning revealed no gross a bnormalities. Surgery was followed by brain radiation therapy and 6 months later there were metastases to the oral cavity, right palpebra and both lun gs. The histological findings of the oral and palpebral metastases revealed only the sarcomatous component. We are aware of 15 cases of gliosarcoma wi th extraneural metastases, and in 4 of these, the metastases contained only the sarcomatous component. We believe that our case represents the fifth c ase of pure sarcomatous metastases.