Malignant metastatic carcinoid presenting as brain tumor
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Carcinoid tumors are rarely known to metastasize to the brain. It is even rarer for such patients to present with symptoms related to metastases as the initial and only symptom. We present a case of a 60-year-old man who presented with hemiparesis and imaging features suggestive of a brain tumor. He underwent surgery and the histopathology revealed metastatic malignant lesion of neuroendocrine origin. A subsequent work up for the primary was negative. The patient was treated with adjuvant radiotherapy.

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