异柠檬酸脱氢酶
脑膜瘤
胶质瘤
IDH1
胶质母细胞瘤
医学
病理
恶性转化
脑瘤
作者
Yusuke Kobayashi,Kazuhiko Mishima,Jun-ichi Adachi,Tomonari Suzuki,Atsushi Sasaki,Ryo Nishikawa
出处
期刊:PubMed
日期:2020-10-01
卷期号:72 (10): 1105-1111
标识
DOI:10.11477/mf.1416201657
摘要
Meningioma and glioma represent two common primary intracranial tumors. However, the coexistence of these two lesions in the same patient at the same location is rare. Here, we present a case of a fibroblastic meningioma with a secondary glioblastoma occurring at the same location. A 67-year-old woman underwent surgery for a left frontal parasagittal meningioma, and the tumor was subtotally removed. Two years and 11 months after the surgery, the patient had a tumor at the same location with invasion into the adjacent brain, suggesting recurrent meningioma with malignant transformation. The resected tumor was confirmed histopathologically as a glioblastoma. Genetic analysis revealed that the isocitrate dehydrogenase 1 and 2 genes were wild type, and the TERT promoter mutation was detected. The gene analysis suggests that the tumor was a de novo glioblastoma, not a secondary glioblastoma from a lower-grade glioma. (Received April 9, 2020; Accepted May 27, 2020; Published October 1, 2020).
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