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Washington University Experience | NEOPLASMS (GLIAL) | Subependymoma | 16A0 Case 16 History
Case 16 History ---- The patient was an 87 year old man with a history of Parkinson's Disease and distant past diagnoses of Duke B colon cancer which was treated with right hemicolectomy. Ulcerative colitis was diagnosed in 1982 and total colectomy with ileostomy was done in 1984 and two Duke A colon cancers were found. Years later bleeding from the ileostomy site resulted in an ER visit where his hematocrit was 18%. Abdominal CT showed a large hepatic mass consistent with a poorly differentiated malignant neoplasm. MRI of the brain showed only lacunar infarcts. Persistent thrombocytopenia prompted bone marrow biopsy which showed acute myelogenous leukemia (FAB-M5a). The patient became confused and lethargic and had a generalized seizure the next morning and developed right hemiparesis later that day. His code status was "DNR" and he passed away.
