Department of Medical Education, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan.
Childs Nerv Syst. 2024 Mar;40(3):933-937. doi: 10.1007/s00381-023-06229-z. Epub 2023 Nov 20.
Glioblastoma (GBM) is a rare primary brain tumor in children, and extracranial metastases of pediatric GBM are particularly uncommon. We present the case of a 10-year-old girl with pediatric GBM who developed multiple extracranial metastases, including cervical lymph nodes, spine, and lung. We discuss the rarity of extracranial metastases in GBM and explore possible mechanisms of dissemination. The patient underwent surgical resections, radiotherapy, and chemotherapy, but the metastatic disease progressed despite treatment. We emphasize the need to consider extracranial metastases in pediatric GBM patients and adopt multimodal treatment approaches for managing this rare clinical entity. As the survival rates of pediatric GBM patients are improving, awareness of extracranial metastases is crucial for optimizing treatment outcomes.
胶质母细胞瘤(GBM)是儿童中罕见的原发性脑肿瘤,儿童 GBM 的颅外转移尤其罕见。我们报告了一例 10 岁女孩患有儿童 GBM,她发生了多处颅外转移,包括颈部淋巴结、脊柱和肺部。我们讨论了 GBM 中颅外转移的罕见性,并探讨了可能的播散机制。该患者接受了手术切除、放疗和化疗,但转移性疾病尽管治疗仍在进展。我们强调需要考虑儿童 GBM 患者的颅外转移,并采用多模式治疗方法来管理这种罕见的临床实体。随着儿童 GBM 患者的生存率提高,对颅外转移的认识对于优化治疗结果至关重要。