Gliosarcoma of Cerebello-Pontine Angle: A Case Report and Review of the Literature.
- Author:
Gi Yong YOON
1
;
Hyuk Jin OH
;
Jae Sang OH
;
Seok Mann YOON
;
Hack Gun BAE
Author Information
- Publication Type:Case Report
- Keywords: Gliosarcoma; Sarcomatous glioma
- MeSH: Aged; Central Nervous System; Cranial Fossa, Posterior; Craniotomy; Diagnosis; Dizziness; Gait; Glioblastoma; Gliosarcoma*; Humans; Magnetic Resonance Imaging
- From:Brain Tumor Research and Treatment 2018;6(2):78-81
- CountryRepublic of Korea
- Language:English
- Abstract: Gliosarcoma (GS), known as variant of glioblastoma multiforme, is aggressive and very rare primary central nervous system malignant neoplasm. They are usually located in the supratentorial area with possible direct dural invasion or only reactive dural thickening. However, in this case, GS was located in lateral side of left posterior cranial fossa. A 78-year-old man was admitted to our hospital with 3 month history of continuous dizziness and gait disturbance without past medical history. A gadolinium-enhanced MRI demonstrated 5.6×4.8×3.2 cm sized mass lesion in left posterior cranial fossa, heterogeneously enhanced. The patient underwent left retrosigmoid craniotomy with navigation system. The tumor was combined with 2 components, whitish firm mass and gray colored soft & suckable mass. On pathologic report, the final diagnosis was GS of WHO grade IV. In spite of successful gross total resection of tumor, we were no longer able to treat because of the patient's rejection of adjuvant treatment. The patient survived for nine months without receiving any special treatment from the hospital.
