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长期多形性胶质母细胞瘤幸存者发生放射性诱发三叉神经鞘瘤的罕见病例。

Rare case of radiation-induced trigeminal schwannoma occurring in a long-term glioblastoma multiforme survivor.

作者信息

Al Shalchi Mina, Hussain Shaila, Giridharan Selvaraj, Albanese Erminia

机构信息

School of Medicine, Keele University, Staffordshire, UK.

Cancer Centre, University Hospital of North Midlands, Stoke-on-Trent, UK.

出版信息

BMJ Case Rep. 2016 Mar 11;2016:bcr2016214438. doi: 10.1136/bcr-2016-214438.

Abstract

Glioblastoma multiforme (GBM) is a high-grade primary brain tumour with a notably poor prognosis. Research demonstrates a median survival of just over 1 year following aggressive treatment. Long-term survival is notably rare. Cranial radiotherapy and postexcisional prophylactic treatment is associated with the development of second, histologically distinct tumours in rare cases. Radiation-induced intracranial schwannomas are uncommon, with only a small number of cranial nerve schwannoma cases reported in recent decades. To our knowledge, this is the first reported case of a radiation-induced benign trigeminal schwannoma occurring following long-term survival from glioblastoma. Here we present (1) a rare case of 14-year survival following treatment of a right parietal glioblastoma and the development of a radiation-induced benign trigeminal schwannoma in a 35-year-old man, and (2) a review of radiation-induced schwannoma cases reported in the existing literature.

摘要

多形性胶质母细胞瘤(GBM)是一种高级别原发性脑肿瘤,预后极差。研究表明,积极治疗后的中位生存期仅略超过1年。长期生存极为罕见。在罕见情况下,头颅放疗和切除术后预防性治疗与组织学上不同的第二种肿瘤的发生有关。辐射诱发的颅内神经鞘瘤并不常见,近几十年来仅报道了少数颅神经鞘瘤病例。据我们所知,这是第一例报道的在多形性胶质母细胞瘤长期生存后发生的辐射诱发的良性三叉神经鞘瘤。在此,我们报告(1)一例右顶叶多形性胶质母细胞瘤治疗后存活14年并在一名35岁男性中发生辐射诱发的良性三叉神经鞘瘤的罕见病例,以及(2)对现有文献中报道的辐射诱发神经鞘瘤病例的综述。

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