Skip to main content

01.12.2011 | Case Report

Desmoplastic infantile astrocytoma: recurrence with malignant transformation into glioblastoma: a case report

Erschienen in: Child's Nervous System | Ausgabe 12/2011

Einloggen, um Zugang zu erhalten

Abstract

Desmoplastic infantile astrocytoma (DIA) is an uncommon brain tumor of early infancy. The tumor is characterized by a lobar location, glial histology, and excellent prognosis after surgical removal. DIA and a similar tumor, desmoplastic infantile ganglioglioma (DIG) have been considered to be benign neoplasms, but the prognosis of DIA and DIG is currently under question as atypical and aggressive clinical features of the tumors have been reported. We encountered a patient who was diagnosed with DIA at the age of 22 months and exhibited tumor recurrence 8 years later. Surgical removal of the recurred tumor revealed that the tumor had transformed to overt glioblastoma. This case demonstrates that DIA is not an absolutely benign tumor and that careful clinical surveillance is needed during the follow-up period.
Literatur
1.
Zurück zum Zitat Setty SN, Miller DC, Camras L, Charbel F, Schmidt ML (1997) Desmoplastic infantile astrocytoma with metastases at presentation. Mod Pathol 10(9):945–951PubMed Setty SN, Miller DC, Camras L, Charbel F, Schmidt ML (1997) Desmoplastic infantile astrocytoma with metastases at presentation. Mod Pathol 10(9):945–951PubMed
2.
Zurück zum Zitat Taranath A, Lam A, Wong CK (2005) Desmoplastic infantile ganglioglioma: a questionably benign tumour. Australas Radiol 49(5):433–437PubMedCrossRef Taranath A, Lam A, Wong CK (2005) Desmoplastic infantile ganglioglioma: a questionably benign tumour. Australas Radiol 49(5):433–437PubMedCrossRef
3.
Zurück zum Zitat Darwish B, Arbuckle S, Kellie S, Besser M, Chaseling R (2007) Desmoplastic infantile ganglioglioma/astrocytoma with cerebrospinal metastasis. J Clin Neurosci 14(5):498–501PubMedCrossRef Darwish B, Arbuckle S, Kellie S, Besser M, Chaseling R (2007) Desmoplastic infantile ganglioglioma/astrocytoma with cerebrospinal metastasis. J Clin Neurosci 14(5):498–501PubMedCrossRef
4.
Zurück zum Zitat Uro-Coste E, Ssi-Yan-Kai G, Guilbeau-Frugier C, Boetto S, Bertozzi AI, Sevely A, Lolmede K, Delisle MB (2010) Desmoplastic infantile astrocytoma with benign histological phenotype and multiple intracranial localizations at presentation. J Neurooncol 98(1):143–149PubMedCrossRef Uro-Coste E, Ssi-Yan-Kai G, Guilbeau-Frugier C, Boetto S, Bertozzi AI, Sevely A, Lolmede K, Delisle MB (2010) Desmoplastic infantile astrocytoma with benign histological phenotype and multiple intracranial localizations at presentation. J Neurooncol 98(1):143–149PubMedCrossRef
5.
Zurück zum Zitat Milanaccio C, Nozza P, Ravegnani M, Rossi A, Raso A, Gambini C, Garre ML, Pietsch T (2005) Cervico-medullary desmoplastic infantile ganglioglioma: an unusual case with diffuse leptomeningeal dissemination at diagnosis. Pediatr Blood Cancer 45(7):986–990PubMedCrossRef Milanaccio C, Nozza P, Ravegnani M, Rossi A, Raso A, Gambini C, Garre ML, Pietsch T (2005) Cervico-medullary desmoplastic infantile ganglioglioma: an unusual case with diffuse leptomeningeal dissemination at diagnosis. Pediatr Blood Cancer 45(7):986–990PubMedCrossRef
6.
Zurück zum Zitat Lonnrot K, Terho M, Kahara V, Haapasalo H, Helen P (2007) Desmoplastic infantile ganglioglioma: novel aspects in clinical presentation and genetics. Surg Neurol 68(3):304–308, discussion 308PubMedCrossRef Lonnrot K, Terho M, Kahara V, Haapasalo H, Helen P (2007) Desmoplastic infantile ganglioglioma: novel aspects in clinical presentation and genetics. Surg Neurol 68(3):304–308, discussion 308PubMedCrossRef
7.
Zurück zum Zitat Tantbirojn P, Sanpavat A, Bunyaratavej K, Desudchit T, Shuangshoti S (2005) Desmoplastic infantile ganglioglioma with high proliferation index: report of a case. J Med Assoc Thai 88(12):1962–1965PubMed Tantbirojn P, Sanpavat A, Bunyaratavej K, Desudchit T, Shuangshoti S (2005) Desmoplastic infantile ganglioglioma with high proliferation index: report of a case. J Med Assoc Thai 88(12):1962–1965PubMed
8.
Zurück zum Zitat Komori T, Scheithauer BW, Parisi JE, Watterson J, Priest JR (2001) Mixed conventional and desmoplastic infantile ganglioglioma: an autopsied case with 6-year follow-up. Mod Pathol 14(7):720–726PubMedCrossRef Komori T, Scheithauer BW, Parisi JE, Watterson J, Priest JR (2001) Mixed conventional and desmoplastic infantile ganglioglioma: an autopsied case with 6-year follow-up. Mod Pathol 14(7):720–726PubMedCrossRef
9.
Zurück zum Zitat Kim JH, Kim IO, Kim WS, Kim KH, Park CM, Yeon KM (2003) MR findings of desmoplastic cerebral astrocytoma of infancy. Acta Radiol 44(6):688–690PubMed Kim JH, Kim IO, Kim WS, Kim KH, Park CM, Yeon KM (2003) MR findings of desmoplastic cerebral astrocytoma of infancy. Acta Radiol 44(6):688–690PubMed
10.
Zurück zum Zitat Ater J, Holmes E, Zhou T, Mazewski C, Roberts W, Vezina G, Booth T, Freyer D, Kadota R, Jakacki R, Packer R, Prados M, Pollack I (2008) Results of COG protocol A9952: a randomized phase 3 study of two chemotherapy regimens for incompletely resected low-grade glioma in young children. Neuro-Oncology 10(3):451 Ater J, Holmes E, Zhou T, Mazewski C, Roberts W, Vezina G, Booth T, Freyer D, Kadota R, Jakacki R, Packer R, Prados M, Pollack I (2008) Results of COG protocol A9952: a randomized phase 3 study of two chemotherapy regimens for incompletely resected low-grade glioma in young children. Neuro-Oncology 10(3):451
11.
Zurück zum Zitat Taratuto AL, Monges J, Lylyk P, Leiguarda R (1984) Superficial cerebral astrocytoma attached to dura. Report of six cases in infants. Cancer 54(11):2505–2512PubMedCrossRef Taratuto AL, Monges J, Lylyk P, Leiguarda R (1984) Superficial cerebral astrocytoma attached to dura. Report of six cases in infants. Cancer 54(11):2505–2512PubMedCrossRef
12.
Zurück zum Zitat VandenBerg SR, May EE, Rubinstein LJ, Herman MM, Perentes E, Vinores SA, Collins VP, Park TS (1987) Desmoplastic supratentorial neuroepithelial tumors of infancy with divergent differentiation potential ("desmoplastic infantile gangliogliomas"). Report on 11 cases of a distinctive embryonal tumor with favorable prognosis. J Neurosurg 66(1):58–71PubMedCrossRef VandenBerg SR, May EE, Rubinstein LJ, Herman MM, Perentes E, Vinores SA, Collins VP, Park TS (1987) Desmoplastic supratentorial neuroepithelial tumors of infancy with divergent differentiation potential ("desmoplastic infantile gangliogliomas"). Report on 11 cases of a distinctive embryonal tumor with favorable prognosis. J Neurosurg 66(1):58–71PubMedCrossRef
13.
Zurück zum Zitat Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (2007) WHO classification of tumours of the central nervous system. IARC, Lyon Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (2007) WHO classification of tumours of the central nervous system. IARC, Lyon
14.
Zurück zum Zitat Takeshima H, Kawahara Y, Hirano H, Obara S, Niiro M, Kuratsu J (2003) Postoperative regression of desmoplastic infantile gangliogliomas: report of two cases. Neurosurgery 53(4):979–983, discussion 983–974PubMedCrossRef Takeshima H, Kawahara Y, Hirano H, Obara S, Niiro M, Kuratsu J (2003) Postoperative regression of desmoplastic infantile gangliogliomas: report of two cases. Neurosurgery 53(4):979–983, discussion 983–974PubMedCrossRef
15.
Zurück zum Zitat Tsuji K, Nakasu S, Tsuji A, Fukami T, Nozaki K (2008) Postoperative regression of desmoplastic infantile astrocytoma. No Shinkei Geka 36(11):1035–1039PubMed Tsuji K, Nakasu S, Tsuji A, Fukami T, Nozaki K (2008) Postoperative regression of desmoplastic infantile astrocytoma. No Shinkei Geka 36(11):1035–1039PubMed
16.
Zurück zum Zitat Craver RD, Nadell J, Nelson JS (1999) Desmoplastic infantile ganglioglioma. Pediatr Dev Pathol 2(6):582–587PubMedCrossRef Craver RD, Nadell J, Nelson JS (1999) Desmoplastic infantile ganglioglioma. Pediatr Dev Pathol 2(6):582–587PubMedCrossRef
17.
Zurück zum Zitat Bachli H, Avoledo P, Gratzl O, Tolnay M (2003) Therapeutic strategies and management of desmoplastic infantile ganglioglioma: two case reports and literature overview. Childs Nerv Syst 19(5–6):359–366PubMed Bachli H, Avoledo P, Gratzl O, Tolnay M (2003) Therapeutic strategies and management of desmoplastic infantile ganglioglioma: two case reports and literature overview. Childs Nerv Syst 19(5–6):359–366PubMed
18.
Zurück zum Zitat Rout P, Santosh V, Mahadevan A, Kolluri VR, Yasha TC, Shankar SK (2002) Desmoplastic infantile ganglioglioma—clinicopathological and immunohistochemical study of four cases. Childs Nerv Syst 18(9–10):463–467PubMedCrossRef Rout P, Santosh V, Mahadevan A, Kolluri VR, Yasha TC, Shankar SK (2002) Desmoplastic infantile ganglioglioma—clinicopathological and immunohistochemical study of four cases. Childs Nerv Syst 18(9–10):463–467PubMedCrossRef
19.
Zurück zum Zitat Al-Sarraj ST, Bridges LR (1996) Desmoplastic cerebral glioblastoma of infancy. Br J Neurosurg 10(2):215–219PubMedCrossRef Al-Sarraj ST, Bridges LR (1996) Desmoplastic cerebral glioblastoma of infancy. Br J Neurosurg 10(2):215–219PubMedCrossRef
20.
Zurück zum Zitat De Munnynck K, Van Gool S, Van Calenbergh F, Demaerel P, Uyttebroeck A, Buyse G, Sciot R (2002) Desmoplastic infantile ganglioglioma: a potentially malignant tumor? Am J Surg Pathol 26(11):1515–1522PubMedCrossRef De Munnynck K, Van Gool S, Van Calenbergh F, Demaerel P, Uyttebroeck A, Buyse G, Sciot R (2002) Desmoplastic infantile ganglioglioma: a potentially malignant tumor? Am J Surg Pathol 26(11):1515–1522PubMedCrossRef
21.
Zurück zum Zitat Hoving EW, Kros JM, Groninger E, den Dunnen WF (2008) Desmoplastic infantile ganglioglioma with a malignant course. J Neurosurg Pediatr 1(1):95–98PubMedCrossRef Hoving EW, Kros JM, Groninger E, den Dunnen WF (2008) Desmoplastic infantile ganglioglioma with a malignant course. J Neurosurg Pediatr 1(1):95–98PubMedCrossRef
22.
Zurück zum Zitat Trehan G, Bruge H, Vinchon M, Khalil C, Ruchoux MM, Dhellemmes P, Ares GS (2004) MR imaging in the diagnosis of desmoplastic infantile tumor: retrospective study of six cases. AJNR Am J Neuroradiol 25(6):1028–1033PubMed Trehan G, Bruge H, Vinchon M, Khalil C, Ruchoux MM, Dhellemmes P, Ares GS (2004) MR imaging in the diagnosis of desmoplastic infantile tumor: retrospective study of six cases. AJNR Am J Neuroradiol 25(6):1028–1033PubMed
23.
Zurück zum Zitat Kuchelmeister K, Bergmann M, von Wild K, Hochreuther D, Busch G, Gullotta F (1993) Desmoplastic ganglioglioma: report of two non-infantile cases. Acta Neuropathol 85(2):199–204PubMedCrossRef Kuchelmeister K, Bergmann M, von Wild K, Hochreuther D, Busch G, Gullotta F (1993) Desmoplastic ganglioglioma: report of two non-infantile cases. Acta Neuropathol 85(2):199–204PubMedCrossRef
24.
Zurück zum Zitat Kim NR, Wang KC, Bang JS, Choe G, Park Y, Kim SK, Cho BK, Chi JG (2003) Glioblastomatous transformation of ganglioglioma: case report with reference to molecular genetic and flow cytometric analysis. Pathol Int 53(12):874–882PubMedCrossRef Kim NR, Wang KC, Bang JS, Choe G, Park Y, Kim SK, Cho BK, Chi JG (2003) Glioblastomatous transformation of ganglioglioma: case report with reference to molecular genetic and flow cytometric analysis. Pathol Int 53(12):874–882PubMedCrossRef
25.
Zurück zum Zitat Majores M, von Lehe M, Fassunke J, Schramm J, Becker AJ, Simon M (2008) Tumor recurrence and malignant progression of gangliogliomas. Cancer 113(12):3355–3363PubMedCrossRef Majores M, von Lehe M, Fassunke J, Schramm J, Becker AJ, Simon M (2008) Tumor recurrence and malignant progression of gangliogliomas. Cancer 113(12):3355–3363PubMedCrossRef
Metadaten
Titel
Desmoplastic infantile astrocytoma: recurrence with malignant transformation into glioblastoma: a case report
Publikationsdatum
01.12.2011
Erschienen in
Child's Nervous System / Ausgabe 12/2011
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-011-1587-6

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.