Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Isolated Supratentorial Intraventricular Recurrence of Medulloblastoma

  • Abode-Iyamah, Kingsley O. (Department of Neurosurgery, University of Iowa Hospitals and Clinics) ;
  • Winslow, Nolan (Department of Neurosurgery, University of Iowa Hospitals and Clinics) ;
  • Flouty, Oliver (Department of Neurosurgery, University of Iowa Hospitals and Clinics) ;
  • Kirby, Patricia (Department of Pathology, University of Iowa Hospitals and Clinics)
  • Received : 2014.07.25
  • Accepted : 2014.11.25
  • Published : 2015.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

Medulloblastoma is a common pediatric tumor typically diagnosed before the age of fifteen. Initial therapy includes surgical resection and radiation of the entire neuro-axis. Recurrence is common and typically occurs within 2 years of initial diagnosis. Those fitting Collin's Law is considered tumor-free. We report a case of single supratentorial recurrence 13 years after initial diagnosis. Here we present a 22 year old male presenting 13 years after initial diagnosis with isolated septum pellucidum recurrence. He underwent complete resection of the tumor. Medulloblastoma is a common in the pediatric population. Late recurrence to the ventricular system is uncommon. Long term follow-up is recommended in these patients.

Keywords

References

  1. Allan R, Gill A, Spittaler P : Recurrent medulloblastoma--violation of Collin's law by 14 years. J Clin Neurosci 11 : 756-757, 2004 https://doi.org/10.1016/j.jocn.2004.03.009
  2. Amagasaki K, Yamazaki H, Koizumi H, Hashizume K, Sasaguchi N : Recurrence of medulloblastoma 19 years after the initial diagnosis. Childs Nerv Syst 15 : 482-485, 1999 https://doi.org/10.1007/s003810050444
  3. Belza MG, Donaldson SS, Steinberg GK, Cox RS, Cogen PH : Medulloblastoma : freedom from relapse longer than 8 years--a therapeutic cure? J Neurosurg 75 : 575-582, 1991 https://doi.org/10.3171/jns.1991.75.4.0575
  4. Brown WD, Tavaré CJ, Sobel EL, Gilles FH : Medulloblastoma and Collins' law : a critical review of the concept of a period of risk for tumor recurrence and patient survival. Neurosurgery 36 : 691-697, 1995 https://doi.org/10.1227/00006123-199504000-00008
  5. Buglione M, Triggiani L, Grisanti S, Liserre R, Buttolo L, Gipponi S, et al. : Retreatment of recurrent adult medulloblastoma with radiotherapy : a case report and review of the literature. J Med Case Rep 7 : 64, 2013 https://doi.org/10.1186/1752-1947-7-64
  6. Cieslak E, Kepka L, Fijuth J, Marchel A, Kroh H : Very late relapse of medulloblastoma. Folia Neuropathol 42 : 49-53, 2004
  7. David KM, Casey AT, Hayward RD, Harkness WF, Phipps K, Wade AM : Medulloblastoma : is the 5-year survival rate improving? A review of 80 cases from a single institution. J Neurosurg 86 : 13-21, 1997 https://doi.org/10.3171/jns.1997.86.1.0013
  8. Ferrante L, Mastronardi L, Celli P, Acqui M, Cervoni L, Fortuna A : Medulloblastoma in adulthood. J Neurosurg Sci 35 : 23-30, 1991
  9. Friedberg MH, David O, Adelman LS, Heilman CB : Recurrence of medulloblastoma : violation of Collins' law after two decades. Surg Neurol 47 : 571-574, 1997 https://doi.org/10.1016/S0090-3019(96)00387-4
  10. Giordana MT, Cavalla P, Dutto A, Borsotti L, Chio A, Schiffer D : Is medulloblastoma the same tumor in children and adults? J Neurooncol 35 : 169-176, 1997 https://doi.org/10.1023/A:1005762727257
  11. Giordana MT, Schiffer P, Lanotte M, Girardi P, Chio A : Epidemiology of adult medulloblastoma. Int J Cancer 80 : 689-692, 1999 https://doi.org/10.1002/(SICI)1097-0215(19990301)80:5<689::AID-IJC10>3.0.CO;2-G
  12. Hardy DG, Hope-Stone HF, McKenzie CG, Scholtz CL : Recurrence of medulloblastoma after homogeneous field radiotherapy. Report of three cases. J Neurosurg 49 : 434-440, 1978 https://doi.org/10.3171/jns.1978.49.3.0434
  13. King GA, Sagerman RH : Late recurrence in medulloblastoma. Am J Roentgenol Radium Ther Nucl Med 123 : 7-12, 1975 https://doi.org/10.2214/ajr.123.1.7
  14. Massimino M, Antonelli M, Gandola L, Miceli R, Pollo B, Biassoni V, et al. : Histological variants of medulloblastoma are the most powerful clinical prognostic indicators. Pediatr Blood Cancer 60 : 210-216, 2013 https://doi.org/10.1002/pbc.24225
  15. Massimino M, Casanova M, Polastri D, Biassoni V, Modena P, Pecori E, et al. : Relapse in medulloblastoma : what can be done after abandoning high-dose chemotherapy? A mono-institutional experience. Childs Nerv Syst, 2013 [Epub ahead of print]
  16. Miralbell R, Bleher A, Huguenin P, Ries G, Kann R, Mirimanoff RO, et al. : Pediatric medulloblastoma : radiation treatment technique and patterns of failure. Int J Radiat Oncol Biol Phys 37 : 523-529, 1997 https://doi.org/10.1016/S0360-3016(96)00569-X
  17. Nigri F, Telles C, Acioly MA : Late obstruction of an endoscopic third ventriculostomy stoma by metastatic seeding of a recurrent medulloblastoma. J Neurosurg Pediatr 5 : 641-644, 2010 https://doi.org/10.3171/2010.1.PEDS09320
  18. Nishio S, Morioka T, Takeshita I, Fukui M : Medulloblastoma : survival and late recurrence after the Collins' risk period. Neurosurg Rev 20 : 245-249, 1997 https://doi.org/10.1007/BF01105895
  19. Roka YB, Bista P, Sharma GR, Adhikari D, Kumar P : Frontal recurrence of medulloblastoma five years after excision and craniospinal irradiation. Indian J Pathol Microbiol 52 : 383-385, 2009 https://doi.org/10.4103/0377-4929.55001
  20. Sanders MA, Vitaz T, Rosenblum M, Plaga AR, Parker JC Jr, Parker JR : 46-year-old man with a spinal cord mass. Brain Pathol 21 : 109-112, 2011 https://doi.org/10.1111/j.1750-3639.2010.00451.x
  21. Sarkar C, Pramanik P, Karak AK, Mukhopadhyay P, Sharma MC, Singh VP, et al. : Are childhood and adult medulloblastomas different? A comparative study of clinicopathological features, proliferation index and apoptotic index. J Neurooncol 59 : 49-61, 2002 https://doi.org/10.1023/A:1016357731363
  22. Stevens B, Razzaqi F, Yu L, Craver R : Late recurrence of medulloblastoma. J La State Med Soc 160 : 138-141, 2008
  23. Sun LM, Yeh SA, Wang CJ, Huang EY, Chen HC, Hsu HC, et al. : Postoperative radiation therapy for medulloblastoma--high recurrence rate in the subfrontal region. J Neurooncol 58 : 77-85, 2002 https://doi.org/10.1023/A:1015865614640
  24. Tabori U, Sung L, Hukin J, Laperriere N, Crooks B, Carret AS, et al. : Distinctive clinical course and pattern of relapse in adolescents with medulloblastoma. Int J Radiat Oncol Biol Phys 64 : 402-407, 2006 https://doi.org/10.1016/j.ijrobp.2005.07.962

Cited by

  1. A Rare Case of Medulloblastoma with Supratentorial Metastasis Two Years after Treatment vol.39, pp.3, 2020, https://doi.org/10.1055/s-0040-1713093