A unique case of the co-existence of two different brain tumors in one patient

Introduction: Multiple primary brain tumors are a rare occurrence that are often accounted for by a complex process of tumorigenesis involving irradiation and possibly the association of residual embryonic tissue turning neoplastic. In this case study, we report a case of coexisting sub ependymoma a...

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Autores principales:	Asma Akbar Ladak, Sarosh Irfan Madhani, Sabeehuddin Siddique, Altaf Ali Laghari
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Brain neoplasms Oligodendroglioma Subependymal glioma Neurosurgery Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b0ca6d4389c843ebb2f289a3fe50f42e
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spelling	oai:doaj.org-article:b0ca6d4389c843ebb2f289a3fe50f42e2021-12-02T05:01:45ZA unique case of the co-existence of two different brain tumors in one patient2214-751910.1016/j.inat.2021.101448https://doaj.org/article/b0ca6d4389c843ebb2f289a3fe50f42e2022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003601https://doaj.org/toc/2214-7519Introduction: Multiple primary brain tumors are a rare occurrence that are often accounted for by a complex process of tumorigenesis involving irradiation and possibly the association of residual embryonic tissue turning neoplastic. In this case study, we report a case of coexisting sub ependymoma and oligodendroglioma in a patient. Case: A 32-year-old female was referred to our hospital with a history of seizures for the past 6 months and intact sensorimotor functions. Her Magnetic Resonance Imaging (MRI) revealed a lesion in the parieto-occipital lobe along with perilesional edema which resulted in the effacement of the left lateral ventricle. A second lesion was noted at frontal horn of the right lateral ventricle attached to the septum pellucidum with tiny cystic spaces. The left parieto-occipital lesion (oligodendroglioma) was excised using a supratentorial craniotomy approach and an interhemispheric anterior transcollosal approach was used for debulking the intraventricular tumor (subependymoma). The patient was put on Temozolomide but only took 4 cycles of chemotherapy and refused radiation therapy. She currently has stable disease and is being followed with MRI scans every 6 months. Conclusion: The most commonly reported concomitant tumors are meningioma with glioma followed by schwannoma and pituitary adenoma. The discovery of a second tumor is often done pre-operatively, intraoperatively, years after resection of the first tumor and even during postmortem examinations. We report for the first time, the co-existence of an oligodendroglioma and a sub ependymoma.Asma Akbar LadakSarosh Irfan MadhaniSabeehuddin SiddiqueAltaf Ali LaghariElsevierarticleBrain neoplasmsOligodendrogliomaSubependymal gliomaNeurosurgerySurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101448- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Brain neoplasms Oligodendroglioma Subependymal glioma Neurosurgery Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Brain neoplasms Oligodendroglioma Subependymal glioma Neurosurgery Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Asma Akbar Ladak Sarosh Irfan Madhani Sabeehuddin Siddique Altaf Ali Laghari A unique case of the co-existence of two different brain tumors in one patient
description	Introduction: Multiple primary brain tumors are a rare occurrence that are often accounted for by a complex process of tumorigenesis involving irradiation and possibly the association of residual embryonic tissue turning neoplastic. In this case study, we report a case of coexisting sub ependymoma and oligodendroglioma in a patient. Case: A 32-year-old female was referred to our hospital with a history of seizures for the past 6 months and intact sensorimotor functions. Her Magnetic Resonance Imaging (MRI) revealed a lesion in the parieto-occipital lobe along with perilesional edema which resulted in the effacement of the left lateral ventricle. A second lesion was noted at frontal horn of the right lateral ventricle attached to the septum pellucidum with tiny cystic spaces. The left parieto-occipital lesion (oligodendroglioma) was excised using a supratentorial craniotomy approach and an interhemispheric anterior transcollosal approach was used for debulking the intraventricular tumor (subependymoma). The patient was put on Temozolomide but only took 4 cycles of chemotherapy and refused radiation therapy. She currently has stable disease and is being followed with MRI scans every 6 months. Conclusion: The most commonly reported concomitant tumors are meningioma with glioma followed by schwannoma and pituitary adenoma. The discovery of a second tumor is often done pre-operatively, intraoperatively, years after resection of the first tumor and even during postmortem examinations. We report for the first time, the co-existence of an oligodendroglioma and a sub ependymoma.
format	article
author	Asma Akbar Ladak Sarosh Irfan Madhani Sabeehuddin Siddique Altaf Ali Laghari
author_facet	Asma Akbar Ladak Sarosh Irfan Madhani Sabeehuddin Siddique Altaf Ali Laghari
author_sort	Asma Akbar Ladak
title	A unique case of the co-existence of two different brain tumors in one patient
title_short	A unique case of the co-existence of two different brain tumors in one patient
title_full	A unique case of the co-existence of two different brain tumors in one patient
title_fullStr	A unique case of the co-existence of two different brain tumors in one patient
title_full_unstemmed	A unique case of the co-existence of two different brain tumors in one patient
title_sort	unique case of the co-existence of two different brain tumors in one patient
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/b0ca6d4389c843ebb2f289a3fe50f42e
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A unique case of the co-existence of two different brain tumors in one patient

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