Atypical central neurocytoma with leptomeningeal dissemination: a case report
| Autor: | Tejinder Kataria, Karanjit S Narang, Shikha Goyal, Ishani Mohapatra, Aruj Dhyani, Deepak Gupta |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty medicine.medical_treatment lcsh:RC254-282 Craniospinal Irradiation 03 medical and health sciences 0302 clinical medicine Neuronal tumors MIB-1 labeling index Case report Central neurocytoma medicine Meningeal Neoplasms Humans Neurocytoma medicine.diagnostic_test business.industry Brain Neoplasms Craniospinal irradiation Magnetic resonance imaging lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Primary tumor Magnetic Resonance Imaging Radiation therapy Oncology Atypical neurocytoma 030220 oncology & carcinogenesis Histopathology Radiology business Craniospinal 030217 neurology & neurosurgery |
| Zdroj: | Journal of the Egyptian National Cancer Institute, Vol 32, Iss 1, Pp 1-8 (2020) |
| ISSN: | 2589-0409 |
| Popis: | Background Central neurocytomas represent 0.25–0.5% of all intracranial tumors in adults. Leptomeningeal spread is uncommon, and the exact incidence of meningeal spread is unknown due to sparse literature. We present the clinical course and management outcome of a case of atypical central neurocytoma with leptomeningeal spread. Case presentation A young gentleman, who initially presented with memory loss, was found to have a right intra-axial periventricular mass on imaging. He underwent subtotal resection, and operative histopathology suggested a periventricular atypical neurocytoma. In view of subtotal resection, adjuvant focal radiation therapy was recommended, but he developed headache and blurring of vision 10 days postoperatively. Contrast enhanced craniospinal magnetic resonance imaging (MRI) showed residual primary tumor as well as diffuse leptomeningeal spread. Cerebrospinal fluid cytology also showed malignant cells. After tumor board discussion, craniospinal axis irradiation was advised and delivered. He remained disease-free for 10 months after radiation therapy, but then developed local and spinal recurrence, and offered salvage chemotherapy. His general condition deteriorated following chemotherapy with disease progression, and he was subsequently advised best supportive care. Conclusion Leptomeningeal dissemination in atypical neurocytomas portends an aggressive course and adverse prognosis; management decisions may need tailoring as per individual presentation. |
| Databáze: | OpenAIRE |
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