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Supratentorial extraventricular anaplastic ependymoma presenting with repeated intratumoral hemorrhage.

Han MH, Park KS, Park SH, Hwang JH - Brain Tumor Res Treat (2014)

Bottom Line: The patient was diagnosed with an intracerebral hematoma in the left occipital lobe and underwent operation.The hematoma did not reveal tumor cells, but a new tumor grew in the same location 5 years later.Four years later, the tumor recurred at the cervicomedullary junction and T8-T9 levels.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea.

ABSTRACT
Supratentorial extraventricular anaplastic ependymomas are extremely rare. We report the case of a 23-year-old male with a supratentorial extraventricular anaplastic ependymoma that presented with repeated intratumoral hemorrhage. The patient was diagnosed with an intracerebral hematoma in the left occipital lobe and underwent operation. The hematoma did not reveal tumor cells, but a new tumor grew in the same location 5 years later. Magnetic resonance imaging showed a tumor with intratumoral hemorrhage. The patient underwent the tumor resection. Intraoperative findings showed that the tumor had no continuity with the ventricle. Histopathological examinations confirmed an anaplastic ependymoma. The spinal evaluation was unremarkable, and radiotherapy was administered to the left occipital lobe. Four years later, the tumor recurred at the cervicomedullary junction and T8-T9 levels. This case demonstrates that anaplastic ependymomas should be included in the differential diagnoses of supratentorial extraventricular tumors presenting with repeated intratumoral hemorrhage.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance images showing a recurred tumor. A: Axial contrast-enhanced T1-weighted image showing no recurrence at the primary site (arrowhead: intact wall of the lateral ventricle). B and C: Sagittal contrast-enhanced T1-weighted images of brain and thoracic spine demonstrating the tumor recurrence and dissemination (arrowhead: dissemination at the intradural space of the eighth to ninth thoracic levels).
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Figure 4: Magnetic resonance images showing a recurred tumor. A: Axial contrast-enhanced T1-weighted image showing no recurrence at the primary site (arrowhead: intact wall of the lateral ventricle). B and C: Sagittal contrast-enhanced T1-weighted images of brain and thoracic spine demonstrating the tumor recurrence and dissemination (arrowhead: dissemination at the intradural space of the eighth to ninth thoracic levels).

Mentions: Four years later, the patient was re-admitted to the hospital because of tumor recurrence at the cervicomedullary junction and dissemination at the intradural space of the eighth to ninth thoracic levels, without recurrence at the primary site (Fig. 4). He underwent a midline suboccipital craniotomy and hemilaminectomy at T8-9. Histopathological examination confirmed recurrence and dissemination of the tumor. Adjuvant spine local radiotherapy (4,500 cGy in 180 cGy daily fractions) was then administered.


Supratentorial extraventricular anaplastic ependymoma presenting with repeated intratumoral hemorrhage.

Han MH, Park KS, Park SH, Hwang JH - Brain Tumor Res Treat (2014)

Magnetic resonance images showing a recurred tumor. A: Axial contrast-enhanced T1-weighted image showing no recurrence at the primary site (arrowhead: intact wall of the lateral ventricle). B and C: Sagittal contrast-enhanced T1-weighted images of brain and thoracic spine demonstrating the tumor recurrence and dissemination (arrowhead: dissemination at the intradural space of the eighth to ninth thoracic levels).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4231620&req=5

Figure 4: Magnetic resonance images showing a recurred tumor. A: Axial contrast-enhanced T1-weighted image showing no recurrence at the primary site (arrowhead: intact wall of the lateral ventricle). B and C: Sagittal contrast-enhanced T1-weighted images of brain and thoracic spine demonstrating the tumor recurrence and dissemination (arrowhead: dissemination at the intradural space of the eighth to ninth thoracic levels).
Mentions: Four years later, the patient was re-admitted to the hospital because of tumor recurrence at the cervicomedullary junction and dissemination at the intradural space of the eighth to ninth thoracic levels, without recurrence at the primary site (Fig. 4). He underwent a midline suboccipital craniotomy and hemilaminectomy at T8-9. Histopathological examination confirmed recurrence and dissemination of the tumor. Adjuvant spine local radiotherapy (4,500 cGy in 180 cGy daily fractions) was then administered.

Bottom Line: The patient was diagnosed with an intracerebral hematoma in the left occipital lobe and underwent operation.The hematoma did not reveal tumor cells, but a new tumor grew in the same location 5 years later.Four years later, the tumor recurred at the cervicomedullary junction and T8-T9 levels.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea.

ABSTRACT
Supratentorial extraventricular anaplastic ependymomas are extremely rare. We report the case of a 23-year-old male with a supratentorial extraventricular anaplastic ependymoma that presented with repeated intratumoral hemorrhage. The patient was diagnosed with an intracerebral hematoma in the left occipital lobe and underwent operation. The hematoma did not reveal tumor cells, but a new tumor grew in the same location 5 years later. Magnetic resonance imaging showed a tumor with intratumoral hemorrhage. The patient underwent the tumor resection. Intraoperative findings showed that the tumor had no continuity with the ventricle. Histopathological examinations confirmed an anaplastic ependymoma. The spinal evaluation was unremarkable, and radiotherapy was administered to the left occipital lobe. Four years later, the tumor recurred at the cervicomedullary junction and T8-T9 levels. This case demonstrates that anaplastic ependymomas should be included in the differential diagnoses of supratentorial extraventricular tumors presenting with repeated intratumoral hemorrhage.

No MeSH data available.


Related in: MedlinePlus