A Stable Secondary Gliosarcoma with Extensive Systemic Metastases: A Case Report.
10.14791/btrt.2016.4.2.133
- Author:
Tae Min CHOI
1
;
Young Jun CHEON
;
Tae Young JUNG
;
Kyung Hwa LEE
Author Information
1. Department of Neurosurgery, Kwangju Christian Hospital, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Brain neoplasm;
Gliosarcoma;
Neoplasm metastasis;
Ventriculoperitoneal shunt
- MeSH:
Arm;
Back Pain;
Brain;
Brain Neoplasms;
Diagnosis;
Drug Therapy;
Dyspnea;
Electrons;
Follow-Up Studies;
Glioblastoma;
Gliosarcoma*;
Gyrus Cinguli;
Hemorrhage;
Humans;
Liver;
Lung;
Lymph Nodes;
Magnetic Resonance Imaging;
Middle Aged;
Neoplasm Metastasis*;
Pericardium;
Pleura;
Radiotherapy;
Seizures;
Stupor;
Torso;
Ventriculoperitoneal Shunt
- From:Brain Tumor Research and Treatment
2016;4(2):133-137
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 63-year-old man complained of intermittent motor weakness of his arm. The magnetic resonance image (MRI) of his brain displayed a high signal lesion in right cingulate gyrus on T2 weighted image. One year later, he showed a stuporous mental status with repeated seizures, and the follow-up brain MRI showed heterogeneously enhanced mass associated with bleeding. He was treated with surgery and radiotherapy for secondary glioblastomas in right cingulate gyrus. One year more later, a mass recurred on the left frontal base, and gliosarcoma was diagnosed. After tumor resection, ventriculoperitoneal shunt, chemotherapy, and re-radiation therapy, all brain lesions were stable. Fourteen months after the diagnosis of gliosarcoma, he complained of dyspnea and back pain. Torso positron emission tomography/computed tomography revealed multiple metastatic lesions in both lungs, pericardium, pleura, liver, lymph nodes, and bones, and metastatic gliosarcoma was diagnosed. One month later, the patient died because of the systemic metastases. We present an unusual case of secondary gliosarcoma with stable brain lesions and extensive systemic metastases.
