Atypical teratoid/rhabdoid tumor arising in the setting of a pleomorphic xanthoastrocytoma

被引:59
作者
Chacko, Geeta
Chacko, Ari G.
Dunham, Christopher P.
Judkins, Alexander R.
Biegel, Jaclyn A.
Perry, Arie
机构
[1] Washington Univ, Sch Med, Div Neuropathol, St Louis, MO 63110 USA
[2] Christian Med Coll & Hosp, Dept Neurol Sci, Div Neuropathol, Vellore 632004, Tamil Nadu, India
[3] Christian Med Coll & Hosp, Dept Neurol Sci, Div Neurosurg, Vellore 632004, Tamil Nadu, India
[4] Univ Penn, Childrens Hosp Philadelphia, Sch Med, Dept Pathol, Philadelphia, PA 19104 USA
[5] Univ Penn, Childrens Hosp Philadelphia, Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
关键词
atypical teratoid; rhabdoid tumor; pleomorphic xanthoastrocytoma; FISH; immunohistochemistry; INI1; BAF47;
D O I
10.1007/s11060-007-9361-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We present a case of a 23-year-old man with a tumor containing glial and rhabdoid elements where the former had features of a pleomorphic xanthoastrocytoma (PXA) and the latter had the immunophenotype and genetic profile of an atypical rhabdoid/teratoid tumor. The patient presented with a short history of raised intracranial pressure with rapid deterioration in sensorium. He had a poor outcome despite surgery and radiotherapy. We report this case because of its unusual presentation in adulthood and its occurrence in association with a PXA. We speculate that the PXA was a quiescent tumor and that the secondary genetic alterations, including inactivation of the INI1 gene led to clinical progression.
引用
收藏
页码:217 / 222
页数:6
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