Atypical Teratoid Rhabdoid Tumors in Adult Patient with Multiple Lesions

  • Oh, Young-Min (Department of Neurosurgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital) ;
  • Koh, Eun-Jeong (Department of Neurosurgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital) ;
  • Choi, Ha-Young (Department of Neurosurgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
  • Published : 2005.11.28

Abstract

Primary atypical teratoid/rhabdoid tumor[AT/RT] of the central nervous system is a recently described, highly malignant neoplasm that usually occur in the posterior fossa of children. Although AT/RT usually occurs in young children, AT/RT is being recognized in adults with increasing frequency. The authors report 49-year-old man with multiple AT/RT lesions [right lateral ventricle, right temporal lobe and right cerebellum]. Histopathologic findings showed typical rhabdoid cells with eccentric nuclei and prominent nucleoli. Eventhough the tumor was removed, a patient was dead in one month after surgery due to recurrence and rapid regrowth of the tumor.

Keywords

References

  1. Hanna SL, Langston JW, Parham DM, Douglass EC : Primary malignant rhabdoid tumor of the brain : clinical, imaging, and pathologic findings. Am J Neuroradiol 14 : 107-115, 1993
  2. Hauser P, Slowik F, Bognar L : Atypical teratoid/rhabdoid tumor or medulloblastoma. Med Pediatr Oncol 36 : 644-648, 2001 https://doi.org/10.1002/mpo.1143
  3. Hilden JM, Watterson J, Longee DC, Moertel CL, Dunn ME, Kurtzberg J, et al : Central nervous system atypical teratoid rhabdoid tumor : response to Intensive therapy and review of the literature. J Neuro-oncol 40 : 265-275, 1998 https://doi.org/10.1023/A:1006125120866
  4. Howlett DC, King AP, Jarosz JM, Stewart RA, al-Sarraj ST, Bingham JB, et al : Imaging and pathological features of primary malignant rhabdoid tumors of the brain and spine. Neuroradiology 39 : 719- 723, 1997 https://doi.org/10.1007/s002340050494
  5. Lefkowitz IB, Rorke LB, Packer RJ : Atypical teratoid tumor of infancy : definition of an entity. Ann Neurol 22 : 448-449, 1987
  6. Lopez-Gines C, Cerda-Nicolas M, Kepes J : Complex rearrangement of chromosomes 6 and 11 as the sole anomaly in atypical teratoid/rhabdoid tumors of the central nervous system. Cancer Genet Cytogenet 122 : 149-152, 2000 https://doi.org/10.1016/S0165-4608(00)00289-2
  7. Oka H, Scheithauer BW : Clinicopathological characteristics of atypical teratoid/rhabdoid tumor. Neurol Med Chir (Tokyo) 39 : 510-517, 1999 https://doi.org/10.2176/nmc.39.510
  8. Park SK, Lee MC, Jung S, Kim YS, Lim JS, Cho KY : Clinicopathologic findings of atypical teratoid/rhabdoid tumor of the central nervous system. J Korean Neurosurg Soc 32 : 599-602, 2002
  9. Rorke LB, Biegel JA, Kleihues P, Cavenee WK : Tumors of the Nervous System. Surg Oncol 9 : 205-206, 2000
  10. Rorke LB, Packer R, Biegel J : Central nervous system atypical teratoid/ rhabdoid tumors of infancy and childhood. J Neurooncol 24 : 21-28, 1995 https://doi.org/10.1007/BF01052653
  11. Rorke LB, Packer R, Biegel J : Central nervous system atypical teratoid/rhabdoid tumors of infancy and childhood : definition of an entity. J Neurosurg 85 : 56-65, 1996 https://doi.org/10.3171/jns.1996.85.1.0056
  12. Weiss E, Behring B, Behnke J, Christen HJ, Perkrun A, Hess CF : Treatment of primary malignant rhabdoid tumor of the brain : report of three cases and review of the literature. Int J Radiat Oncol Biol Phys 41 : 1013-1019, 1998 https://doi.org/10.1016/S0360-3016(98)00106-0
  13. Zuccoli G, Izzi G, Bacchini E : Central nervous system atypical teratoid/ rhabdoid tumor of infancy : CT and MR findings. Clin Imaging 23 : 356-360, 1999 https://doi.org/10.1016/S0899-7071(99)00165-5