Rapid growth of primary cerebral fibrosarcoma with conversion to glioblastoma at second recurrence.

Abstract:

:We present a case of de novo fibrosarcoma in a 43-year-old male, with MRI documented evolution from a 5 mm hyperintense area to 5 cm tumor mass in a 12-month period. The diagnosis of low-grade fibrosarcoma was established by three experienced neuropathologists. The patient underwent gross total resection with adjuvant fractionated conformal radiotherapy. Following first recurrence 3 months later, the patient was reoperated and stereotactic radiosurgery of a residual tumor was performed thereafter. The pathological diagnosis was similar, but with additional extensive radiation effects. Six months later the patient underwent aggressive surgical resection for second recurrence. The pathological diagnosis was WHO grade IV glioblastoma. The etiology of this highly unusual progression from primary mesenchymal neoplasm to high-grade glioma is discussed.

journal_name

J Neurooncol

authors

Adeleye AO,Fellig Y,Umansky F,Shoshan Y

doi

10.1007/s11060-008-9756-5

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

233-8

issue

2

eissn

0167-594X

issn

1573-7373

journal_volume

92

pub_type

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