Tan Chi Hau, Phung Teik Beng, Xenos Chris
Department of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Department of Anatomical Pathology, Monash Health, Clayton, Victoria, Australia.
BMJ Case Rep. 2017 Feb 15;2017:bcr2016218617. doi: 10.1136/bcr-2016-218617.
A girl aged 3 months presented with multiple seizures within 12 hours and was noted to have a palpable swelling over the right temporal region. MRI of the brain revealed a large right frontotemporal tumour, suggestive of supratentorial primitive neuroectodermal tumour. She underwent a stealth-guided craniotomy and debulking of the tumour. Histopathology and immunochemistry of the specimen, however, indicated a high-grade tumour with glioblastoma and neuroblastic components. She underwent adjuvant chemotherapy following the surgery and is well at 7-month follow-up. This case underscores the importance of considering the rare entity of glioblastoma with primitive neuronal pattern as a differential diagnosis in a young child.
一名3个月大的女孩在12小时内出现多次癫痫发作,右颞区可触及肿块。脑部MRI显示右侧额颞叶有一个大肿瘤,提示幕上原始神经外胚层肿瘤。她接受了神经导航引导下的开颅手术及肿瘤切除术。然而,标本的组织病理学和免疫化学检查显示为高级别肿瘤,具有胶质母细胞瘤和神经母细胞成分。术后她接受了辅助化疗,7个月随访时情况良好。该病例强调了在幼儿中将具有原始神经元模式的罕见胶质母细胞瘤实体作为鉴别诊断的重要性。