DOI QR코드

DOI QR Code

Rapid Progression of Early Delayed Radiation Effect in Pleomorphic Xanthoastrocytoma

  • Park, Kyung-Jae (Department of Neurosurgery, Korea University College of Medicine) ;
  • Kang, Shin-Hyuk (Department of Neurosurgery, Korea University College of Medicine) ;
  • Lee, Hoon-Kap (Department of Neurosurgery, Korea University College of Medicine) ;
  • Chung, Yong-Gu (Department of Neurosurgery, Korea University College of Medicine)
  • 발행 : 2009.12.28

초록

Early delayed radiation effects are known to occur within several months after completing radiotherapy for brain tumors. We present marked changes of magnetic resonance imaging (MRI) scan that occurred one month after radiotherapy in a patient with a pleomorphic xanthoastrocytoma, which was eventually diagnosed as an early delayed radiation effect. Such an early development of dramatic MRI change has not been reported in patients treated with radiotherapy for pleomorphic xanthoastrocytomas.

키워드

참고문헌

  1. Armstrong CL, Hunter JV, Hackney D, Shabbout M, Lustig RW, Goldstein B, et al. : MRI changes due to early-delayed conformal radiotherapy and postsurgical effects in patients with brain tumors. Int J Radiat Oncol Biol Phys 63 : 56-63, 2005 https://doi.org/10.1016/j.ijrobp.2004.12.073
  2. Bakardjiev AI, Barnes PD, Goumnerova LC, Black PM, Scott RM, Pomeroy SL, et al. : Magnetic resonance imaging changes after stereotactic radiation therapy for childhood low grade astrocytoma. Cancer 78 : 864-873, 1996 https://doi.org/10.1002/(SICI)1097-0142(19960815)78:4<864::AID-CNCR25>3.0.CO;2-S
  3. Belka C, Budach W, Kortmann RD, Bamberg M : Radiation induced CNS toxicity--molecular and cellular mechanisms. Br J Cancer 85 : 1233-1239, 2001 https://doi.org/10.1054/bjoc.2001.2100
  4. Borgmann K, Haeberle D, Doerk T, Busjahn A, Stephan G, Dikomey E : Genetic determination of chromosomal radiosensitivities in G0-and G2-phase human lymphocytes. Radiother Oncol 83 : 196-202, 2007 https://doi.org/10.1016/j.radonc.2007.04.010
  5. Brandsma D, Stalpers L, Taal W, Sminia P, van den Bent MJ : Clinical features, mechanisms, and management of pseudoprogression in malignant gliomas. Lancet Oncol 9 : 453-461, 2008 https://doi.org/10.1016/S1470-2045(08)70125-6
  6. Chandrasoma PT, Smith MM, Apuzzo ML : Stereotactic biopsy in the diagnosis of brain masses : comparison of results of biopsy and resected surgical specimen. Neurosurgery 24 : 160-165, 1989 https://doi.org/10.1227/00006123-198902000-00002
  7. Dooms GC, Hecht S, Brant-Zawadzki M, Berthiaume Y, Norman D, Newton TH : Brain radiation lesions : MR imaging. Radiology 158 : 149-155, 1986 https://doi.org/10.1148/radiology.158.1.3940373
  8. Gomez-Rio M, Martinez Del Valle Torres D, Rodriguez-Fernandez A, Llamas-Elvira JM, Lozano SO, Font CR, et al. : (201)Tl-SPECT in low-grade gliomas : diagnostic accuracy in differential diagnosis between tumour recurrence and radionecrosis. Eur J Nucl Med Mol Imaging 31 : 1237-1243, 2004
  9. Iwai Y, Yamanaka K, Oda J, Tsuyuguchi N, Ochi H : Tracer accumulation in radiation necrosis of the brain after thallium-201 SPECT and [11C]methionine PET--case report. Neurol Med Chir (Tokyo) 41 : 415-418, 2001 https://doi.org/10.2176/nmc.41.415
  10. Jackson RJ, Fuller GN, Abi-Said D, Lang FF, Gokaslan ZL, Shi WM, et al. : Limitations of stereotactic biopsy in the initial management of gliomas. Neuro Oncol 3 : 193-200, 2001 https://doi.org/10.1215/15228517-3-3-193
  11. Kahn D, Follett KA, Bushnell DL, Nathan MA, Piper JG, Madsen M, et al. : Diagnosis of recurrent brain tumor : value of 201Tl SPECT vs 18F-fluorodeoxyglucose PET. AJR Am J Roentgenol 163 : 1459-1465, 1994 https://doi.org/10.2214/ajr.163.6.7992747
  12. Kim JE, Kim DG, Paek SH, Jung HW : Stereotactic biopsy for intracranial lesions : reliability and its impact on the planning of treatment. Acta Neurochir (Wien) 145 : 547-554; discussion 554-555, 2003 https://doi.org/10.1007/s00701-003-0048-8
  13. Kingsley DP, Kendall BE : CT of the adverse effects of therapeutic radiation of the central nervous system. AJNR Am J Neuroradiol 2 : 453-460, 1981
  14. Matheja P, Rickert C, Weckesser M, Hoss N, Schober O : Scintigraphic pitfall : delayed radionecrosis. Case illustration. J Neurosurg 92 : 732, 2000 https://doi.org/10.3171/jns.2000.92.4.0732
  15. Muragaki Y, Chernov M, Maruyama T, Ochiai T, Taira T, Kubo O, et al. : Low-grade glioma on stereotactic biopsy : how often is the diagnosis accurate? Minim Invasive Neurosurg 51 : 275-279, 2008 https://doi.org/10.1055/s-0028-1082322
  16. Peterson K, Rosenblum MK, Powers JM, Alvord E, Walker RW, Posner JB : Effect of brain irradiation on demyelinating lesions. Neurology 43 : 2105-2112, 1993 https://doi.org/10.1212/WNL.43.10.2105
  17. Ricci PE, Karis JP, Heiserman JE, Fram EK, Bice AN, Drayer BP : Differentiating recurrent tumor from radiation necrosis : time for reevaluation of positron emission tomography? AJNR Am J Neuroradiol 19 : 407-413, 1998
  18. Ross DA, Sandler HM, Balter JM, Hayman JA, Archer PG, Auer DL : Imaging changes after stereotactic radiosurgery of primary and secondary malignant brain tumors. J Neurooncol 56 : 175-181, 2002 https://doi.org/10.1023/A:1014571900854
  19. Rubin P, Gash DM, Hansen JT, Nelson DF, Williams JP : Disruption of the blood-brain barrier as the primary effect of CNS irradiation. Radiother Oncol 31 : 51-60, 1994 https://doi.org/10.1016/0167-8140(94)90413-8
  20. Sheline GE, Wara WM, Smith V : Therapeutic irradiation and brain injury. Int J Radiat Oncol Biol Phys 6 : 1215-1228, 1980
  21. Turesson I, Nyman J, Holmberg E, Oden A : Prognostic factors for acute and late skin reactions in radiotherapy patients. Int J Radiat Oncol Biol Phys 36 : 1065-1075, 1996
  22. Valk PE, Dillon WP : Radiation injury of the brain. AJNR Am J Neuroradiol 12 : 45-62, 1991
  23. Watne K, Hager B, Heier M, Hirschberg H : Reversible oedema and necrosis after irradiation of the brain. Diagnostic procedures and clinical manifestations. Acta Oncol 29 : 891-895, 1990 https://doi.org/10.3109/02841869009096385
  24. Yoshii Y, Moritake T, Suzuki K, Fujita K, Nose T, Satou M : Cerebral radiation necrosis with accumulation of thallium 201 on single-photon emission CT. AJNR Am J Neuroradiol 17 : 1773-1776, 1996

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