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Ann Thorac Surg 2003;75:1016-1017
© 2003 The Society of Thoracic Surgeons

Case report

Development of brain metastasis 5 years before the appearance of the primary lung cancer: "messenger metachronous metastasis"

József Furák, MDa*, Imre Troján, MDa, László Tiszlavicz, MD, PhDb, Tamás Micsik, MDc, László G. Puskás, PhDc

a Divisions of Thoracic Surgery, University of Szeged, Szeged, Hungary
b Division of Pathology, University of Szeged, Szeged, Hungary
c DNA-Chip Laboratory, Biological Research Center, Hungarian Academy of Sciences, Szeged, Hungary

Accepted for publication September 3, 2002.

* Address reprint requests to Dr Furák, Thököly u. 20. 6726 Szeged, Hungary
e-mail: fj{at}surg.szote.u-szeged.hu

We report a patient with a brain metastasis that presented 5 years before the primary adenocarcinoma of the lung from which it originated. The metastasis and the primary tumor were removed. To confirm their common origin, we used comparative genomic hybridization. We have named this type of metastasis "messenger metachronous metastasis." The patient remains well 79 months after the brain metastasectomy and 18 months after the lung surgery.






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