Gliosarcoma occurring 8 years after treatment for a medulloblastoma

Childs Nerv Syst. 2004 Apr;20(4):243-6. doi: 10.1007/s00381-003-0850-x. Epub 2003 Dec 24.

Abstract

Case report: We present a rare case of a gliosarcoma occurring 8 years following treatment for a medulloblastoma. The patient was diagnosed with a medulloblastoma at the age of 13 years. We considered the possibility of a radiation-induced tumour and present evidence supporting this view. The second cerebral tumour was excised and confirmed to be a gliosarcoma. The tumour bed was re-irradiated with three-dimensional conformal radiotherapy (3DCRT). She remained well for 6 months, after which there was clinicoradiological progression.

Conclusions: During long-term follow-up of patients with medulloblastomas, the possibility of radiation-induced neoplasms must be borne in mind.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aftercare
  • Brain / metabolism
  • Brain / pathology
  • Cerebellar Neoplasms / complications*
  • Cerebellar Neoplasms / therapy
  • Female
  • Follow-Up Studies
  • Glial Fibrillary Acidic Protein / metabolism
  • Gliosarcoma / etiology*
  • Humans
  • Immunohistochemistry / methods
  • Medulloblastoma / complications*
  • Medulloblastoma / therapy
  • Neoplasms, Radiation-Induced / etiology
  • Radiotherapy / adverse effects*
  • Tomography, X-Ray Computed / methods

Substances

  • Glial Fibrillary Acidic Protein