Cerebral atypical teratoid/rhabdoid tumor of infancy:: Long-term survival after multimodal treatment, also including triple intrathecal chemotherapy and gamma knife radiosurgery -: Case report

被引:29
作者
Hirth, A [1 ]
Pedersen, PH
Wester, K
Mörk, S
Helgestad, J
机构
[1] Haukeland Univ Hosp, Dept Pediat, N-5021 Bergen, Norway
[2] Haukeland Univ Hosp, Dept Neurosurg, N-5021 Bergen, Norway
[3] Haukeland Univ Hosp, Dept Pathol, N-5021 Bergen, Norway
关键词
atypical teratoid/rhabdoid tumor; Gamma knife; infancy; survival; triple intrathecal chemotherapy;
D O I
10.1080/08880010390203116
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cerebral atypical teratoid/rhabdoid tumors (AT/RT) of infancy are highly malignant and have a poor prognosis. The authors report on one case with long-termsurvival. The patient was a 1 year-old boy presenting with a large AT/RT in the right temporal lobe. He was treated with complete surgery, followed by multiagent chemotherapy. Later he had a second resection and intrathecal chemotherapy and Gamma knife radiosurgery was added to the treatment. Except for a well-controlled temporal epilepsy, the boy is doing well after 6 years follow-up. AT/RT should be treated in a multimodal way. Intrathecal chemotherapy and Gamma knife radiosurgery of single recurrent or residual tumors might increase survival.
引用
收藏
页码:327 / 332
页数:6
相关论文
共 21 条
[1]   Efficacy and feasibility of stereotactic radiosurgery in the primary management of unfavorable pediatric ependymoma [J].
Aggarwal, R ;
Yeung, D ;
Kumar, P ;
Muhlbauer, M ;
Kun, LE .
RADIOTHERAPY AND ONCOLOGY, 1997, 43 (03) :269-273
[2]   Anaesthetic considerations for children undergoing stereotactic radiosurgery [J].
Baker, KC ;
Isert, PR .
ANAESTHESIA AND INTENSIVE CARE, 1997, 25 (06) :691-695
[3]   Gamma knife radiosurgery in children [J].
Baumann, GS ;
Wara, WM ;
Larson, D ;
Sneed, PK ;
Gutin, PH ;
Ciricillo, SF ;
McDermott, MW ;
Park, E ;
Stalpers, LJA ;
Verhey, LJ ;
Smith, V ;
Petti, PL ;
Edwards, MS .
PEDIATRIC NEUROSURGERY, 1996, 24 (04) :193-201
[4]   Immunohistochemistry of primary central nervous system malignant rhabdoid tumors: Report of five cases and review of the literature [J].
Behring, B ;
Bruck, W ;
Goebel, HH ;
Behnke, J ;
Pekrun, A ;
Christen, HJ ;
Kretzschmar, HA .
ACTA NEUROPATHOLOGICA, 1996, 91 (06) :578-586
[5]   Atypical teratoid/rhabdoid tumor of the central nervous system: A highly malignant tumor of infancy and childhood frequently mistaken for medulloblastoma - A pediatric oncology group study [J].
Burger, PC ;
Yu, IT ;
Tihan, T ;
Friedman, HS ;
Strother, DR ;
Kepner, JL ;
Duffner, PK ;
Kun, LE ;
Perlman, EJ .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1998, 22 (09) :1083-1092
[6]   Growth failure after treatment of pediatric brain tumors [J].
Clarson, CL ;
Del Maestro, RF .
PEDIATRICS, 1999, 103 (03)
[7]  
Fossen Aud, 1995, Tidsskrift for den Norske Laegeforening, V115, P3490
[8]   Atypical teratoid/rhabdoid tumor or medulloblastoma? [J].
Hauser, P ;
Slowik, F ;
Bognár, L ;
Babosa, M ;
Fazekas, I ;
Schuler, D .
MEDICAL AND PEDIATRIC ONCOLOGY, 2001, 36 (06) :644-647
[9]   Central nervous system atypical teratoid tumor rhabdoid tumor: Response to intensive therapy and review of the literature [J].
Hilden, JM ;
Watterson, J ;
Longee, DC ;
Moertel, CL ;
Dunn, ME ;
Kurtzberg, J ;
Scheithauer, BW .
JOURNAL OF NEURO-ONCOLOGY, 1998, 40 (03) :265-275
[10]   Atypical teratoid/rhabdoid tumor of the central nervous system: a comparative study with primitive neuroectodermal tumor/medulloblastoma [J].
Ho, DMT ;
Hsu, CY ;
Wong, TT ;
Ting, LT ;
Chiang, H .
ACTA NEUROPATHOLOGICA, 2000, 99 (05) :482-488