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髓母细胞瘤治疗后出现具有横纹肌样特征的放射性胶质母细胞瘤:一例报告并文献复习

Radiation-induced glioblastoma with rhabdoid characteristics following treatment for medulloblastoma: A case report and review of the literature.

作者信息

Wang Ying, Song Shujun, Su Xiaoming, Wu Jihua, Dai Zhuojie, Cui Di, Reng Ye, Fan Jingjing, Shen Yulong, Wu Qingqin, Wang Zongye

机构信息

Department of Radiotherapy, 306th Hospital of PLA, Beijing 100101, P.R. China.

Center for Special Medicine and Experimental Research, 306th Hospital of PLA, Beijing 100101, P.R. China.

出版信息

Mol Clin Oncol. 2018 Oct;9(4):415-418. doi: 10.3892/mco.2018.1703. Epub 2018 Aug 20.

Abstract

Glioblastoma multiforme (GBM) is a high-grade glioma that may develop from several other central nervous system tumors after radiation therapy. We herein report a case of GBM occurring 8 years after radiation therapy for medulloblastoma. The secondary tumor was histologically distinctly different from the primary tumor. Previously reported cases indicate that GBM induced by radiation therapy is associated with a highly aggressive clinical course with a high risk of early recurrence and poor prognosis. In addition, histological examination revealed that the tumor cells exhibited characteristics of both GBM and rhabdoid tumor cells. The diverse pathological characteristics of GBM may reflect the potential effects of radiation therapy on the tumor.

摘要

多形性胶质母细胞瘤(GBM)是一种高级别胶质瘤,可能在放射治疗后由其他几种中枢神经系统肿瘤发展而来。我们在此报告一例在髓母细胞瘤放射治疗8年后发生的GBM病例。继发性肿瘤在组织学上与原发性肿瘤明显不同。先前报道的病例表明,放射治疗诱导的GBM与高度侵袭性的临床病程相关,早期复发风险高且预后不良。此外,组织学检查显示肿瘤细胞表现出GBM和横纹肌样肿瘤细胞的特征。GBM多样的病理特征可能反映了放射治疗对肿瘤的潜在影响。

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