PMID- 3294352 OWN - NLM STAT- MEDLINE DCOM- 19880831 LR - 20190908 IS - 0167-594X (Print) IS - 0167-594X (Linking) VI - 6 IP - 1 DP - 1988 TI - Intracranial astrocytoma with diffuse bone marrow metastasis: a case report and review of the literature. PG - 53-9 AB - A 41 year old male presented with headache, lethargy, and ataxia and found to have a left temporal lobe mass and a leukoerythroblastic peripheral blood smear. The latter prompted an iliac crest bone marrow biopsy on which a diagnosis of metastatic glioma was made and verified by immunohistologic characterization. The patient was treated with cranial irradiation and simultaneous systemic BCNU (bis-dichloroethylnitrosurea) with complete response. This case with diffuse bone marrow involvement demonstrates that a glioblastoma is capable of extracranial metastases without previous intervention. From a review of reported cases of gliomas of extraneural metastasis, it is concluded that untreated gliomas are capable of vascular spread although less frequently than previously manipulated tumors. FAU - LoRusso, P M AU - LoRusso PM AD - Department of Internal Medicine, Wayne State University, School of Medicine, Detroit, Michigan. FAU - Tapazoglou, E AU - Tapazoglou E FAU - Zarbo, R J AU - Zarbo RJ FAU - Cullis, P A AU - Cullis PA FAU - Austin, D AU - Austin D FAU - Al-Sarraf, M AU - Al-Sarraf M LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - J Neurooncol JT - Journal of neuro-oncology JID - 8309335 RN - 0 (Glial Fibrillary Acidic Protein) RN - U68WG3173Y (Carmustine) SB - IM MH - Adult MH - Astrocytoma/drug therapy/*pathology MH - Bone Marrow Diseases/*pathology MH - Brain Neoplasms/drug therapy/*pathology MH - Carmustine/therapeutic use MH - Glial Fibrillary Acidic Protein/analysis MH - Humans MH - Immunoenzyme Techniques MH - Male RF - 27 EDAT- 1988/01/01 00:00 MHDA- 1988/01/01 00:01 CRDT- 1988/01/01 00:00 PHST- 1988/01/01 00:00 [pubmed] PHST- 1988/01/01 00:01 [medline] PHST- 1988/01/01 00:00 [entrez] AID - 10.1007/BF00163541 [doi] PST - ppublish SO - J Neurooncol. 1988;6(1):53-9. doi: 10.1007/BF00163541.