Nasli-Esfahani Ensieh, Ghadami Mohammad, Amini Peyvand, Amiri Somayeh, Ghodsi Maryam, Rambod Camelia, Tootee Ali, Larijani Bagher
>From the Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute; and the 2Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Exp Clin Transplant. 2017 Apr;15(2):231-234. doi: 10.6002/ect.2014.0243. Epub 2016 Jan 20.
Diabetes mellitus is a disease with no definite cure. In recent years, stem cell transplant has led to treatment of various diseases including diabetes. We sought to report a type 1 diabetic patient with a brain mass, diagnosed as transitional meningioma, after a fetal hematopoietic stem cell transplant. A 57-year-old woman with type 1 diabetes who previously had undergone a fetal hematopoietic stem cell transplant, attended the clinic with a history of progressive bifrontal headaches accompanied by nausea, vomiting, and visual disturbances over the previous 8 months. Investigations revealed a 2-cm mass in the right temporal region. The patient underwent a craniotomy, and the lesion was removed and sent for pathological and genetic investigations. The results indicated transitional meningioma with the origin of transplanted fetal hematopoietic stem cells. To our knowledge, this is the first report of transitional meningioma as a result of stem cell transplant. Despite all unanswered questions about the safety of stem cell transplant, this novel therapy provides hope for patients with type 1 diabetes.
糖尿病是一种无法根治的疾病。近年来,干细胞移植已用于治疗包括糖尿病在内的各种疾病。我们报告了一名1型糖尿病患者,在接受胎儿造血干细胞移植后出现脑部肿块,诊断为过渡性脑膜瘤。一名57岁的1型糖尿病女性,此前接受过胎儿造血干细胞移植,因在过去8个月中出现进行性双侧额部头痛伴恶心、呕吐和视觉障碍前来就诊。检查发现右侧颞区有一个2厘米的肿块。患者接受了开颅手术,切除病变并送去进行病理和基因检查。结果显示为起源于移植胎儿造血干细胞的过渡性脑膜瘤。据我们所知,这是首例因干细胞移植导致过渡性脑膜瘤的报告。尽管关于干细胞移植的安全性仍有诸多未解之谜,但这种新疗法为1型糖尿病患者带来了希望。