Ohno Masasuke, Haimoto Shoichi, Tsukushi Satoshi, Hosoda Waki, Ohka Fumiharu, Saito Ryuta
Departments of1Neurosurgery.
2Orthopaedic Surgery, and.
J Neurosurg Case Lessons. 2023 Jul 17;6(3). doi: 10.3171/CASE23148.
Malignant peripheral nerve sheath tumors (MPNSTs) are rare soft-tissue tumors. Intracranial metastasis from MPNSTs is quite rare.
The authors report on a 73-year-old male whose MPNST metastasized to the brain and a 32-year-old male with leptomeningeal metastasis from MPNST and review 41 cases of MPNST that developed intracranial metastasis, as reported in the literature.
Brain metastasis and leptomeningeal metastasis of MPNSTs show different clinical courses and require pathology-specific treatment.
恶性外周神经鞘瘤(MPNSTs)是罕见的软组织肿瘤。MPNSTs发生颅内转移极为罕见。
作者报告了1例73岁男性MPNST发生脑转移,以及1例32岁男性MPNST发生软脑膜转移,并复习了文献报道的41例发生颅内转移的MPNST病例。
MPNSTs的脑转移和软脑膜转移表现出不同的临床病程,需要针对病理特征进行治疗。