室管膜瘤和胶质母细胞瘤在同一患者中连续发展:1例报告

Jihad Echnin, Mohamed Daghi, A. Laaidi, Henri Malaizé, A. Nouet, A. Carpentier, A. Lakhdar
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摘要

导读:单个患者同时发生室管膜瘤和胶质母细胞瘤是一种非常罕见的现象,医学文献中记录的病例有限。病例报告:这篇文章提出了一个令人信服的病例研究,一个53岁的女性谁相继发展这两个不同的原发性脑肿瘤。患者最初于2010年因室管膜下瘤接受神经外科手术,后来出现运动和感觉症状,最终被诊断为胶质母细胞瘤。诊断性立体定向脑活检证实了高级别少突胶质细胞瘤的存在。尽管有术后并发症,患者恢复良好,无癫痫复发。讨论强调室管膜瘤和胶质母细胞瘤的不同分子和临床异质性,缺乏连续发生的病例报道。这些事件背后的潜在机制仍然知之甚少,需要进一步调查。结论:该病例强调了加深对连续性原发性脑肿瘤的理解对于优化诊断、治疗计划和患者预后的重要性。
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Consecutive Development of Ependymoma and Glioblastoma in a Single Patient: A Case Report
Introduction: The simultaneous occurrence of ependymoma and glioblastoma in a single patient is an exceptionally rare phenomenon, with limited documented cases in the medical literature.Case Report: This article presents a compelling case study of a 53-yearold female who sequentially developed these two distinct primary brain tumors. The patient initially underwent neurosurgery for a subependymoma in 2010 and later presented with motor and sensory symptoms, leading to the diagnosis of glioblastoma. A diagnostic stereotactic brain biopsy confirmed the presence of a high-grade oligodendroglioma. Despite postoperative complications, the patient’s recovery has been favorable with no epileptic recurrence. The discussion highlights the distinct molecular and clinical heterogeneity of ependymoma and glioblastoma and the lack of reported cases featuring their consecutive occurrence. The underlying mechanisms behind such occurrences remain poorly understood and warrant further investigation.Conclusion: This case underscores the importance of deepening our comprehension of consecutive primary brain tumors to optimize diagnosis, treatment planning, and patient outcomes.
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