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病例报告:髓母细胞瘤大剂量化疗后发生脑海绵状畸形的第二例病例。

Case report: A second case of cerebral cavernous malformation after high-dose chemotherapy for medulloblastoma.

作者信息

Pionelli Maria Grazia, Mazio Federica, Errico Maria Elena, Russo Carmela, Cristofano Adriana, Covelli Eugenio Maria, Donofrio Vittoria, Capasso Maria, Capozza Michele Antonio, De Gregorio Fabiola, Ruotolo Serena, Abate Massimo Eraldo, Cinalli Giuseppe

机构信息

Pediatric Oncology Unit, Department of Pediatric Onco-Hematology, Santobono-Pausilipon Children's Hospital, AORN, Naples, Italy.

Neuroradiology Unit, Department of Neuroscience, Santobono-Pausilipon Children's Hospital, AORN, Naples, Italy.

出版信息

Front Oncol. 2024 Oct 30;14:1386468. doi: 10.3389/fonc.2024.1386468. eCollection 2024.

Abstract

The development of cerebral cavernous malformations (CCMs) is a well-recognized sequela of irradiation to the brain in pediatric tumors, particularly in medulloblastoma, glioma, and acute lymphoblastic leukaemia. So far, only one case of cerebral cavernoma after chemotherapy with autologous hematopoietic stem cell transplantation (HSCT) has been described. We describe a case of a patient with medulloblastoma aged 18 months at the time of oncological diagnosis who was treated with high-dose chemotherapy followed by HSCT and who developed CCM two years later. The patient was not treated for vascular malformation since he remained asymptomatic until now and is regularly followed with neuro-radiological check-ups. This represents the second case of acquired cavernoma developed in a patient who has not received radiation therapy.

摘要

脑海绵状血管畸形(CCM)的发生是小儿肿瘤脑部放疗公认的后遗症,尤其是在髓母细胞瘤、胶质瘤和急性淋巴细胞白血病中。到目前为止,仅描述了1例自体造血干细胞移植(HSCT)化疗后发生脑海绵状血管瘤的病例。我们报告1例髓母细胞瘤患者,肿瘤诊断时年龄为18个月,接受了大剂量化疗,随后进行了HSCT,2年后发生了CCM。该患者未接受血管畸形治疗,因为他至今仍无症状,并定期接受神经放射学检查。这是第2例未接受放射治疗的患者发生后天性海绵状血管瘤的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bd/11557518/ae885dd673bb/fonc-14-1386468-g001.jpg

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