‘Turban-like’ skull metastasis from pulmonary adenocarcinoma

A 55-year-old woman presented with a progressive psychomotor impairment. She spoke slowly and her motor retardation interfered with activities of daily living. The patient reported that 5 months earlier, she had experienced blunt force trauma of vertex with a progressive swelling of the head. At the time of presentation, a painful, fixed and hard lesion was detected at palpation. Encephalic CT and MRI revealed an osteolytic mass of the skull of 10 cm in maximum diameter, infiltrating the left frontoparietal bones with calcifications (figure 1A, B). The lesion caused a mass effect, without infiltration of the brain parenchyma. A whole-body …