Extracranial, peritoneal seeding of primary malignant brain tumors through ventriculo-peritoneal shunts in children: Case report and review of the literature

Narayan, Anand K.; Jallo, George I.; Huisman, Thierry A.G.M.

doi:10.1177/1971400915609348

Cited by 38 publications

(27 citation statements)

References 18 publications

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“…Whether these vertebral metastases described in the literature have involved the ventricles of the brain is unknown, but this might be the case due to the direct contact between tumor cells and the cerebrospinal fluid running in the subarachnoid space in the spinal cord. Circulating tumor cells present in the ventricular system could potentially seed in the vertebrae, as supported by observations of metastases to the abdomen in patients with a ventriculo‐peritoneal shunt …”

Section: Discussionmentioning

confidence: 75%

“…Circulating tumor cells present in the ventricular system could potentially seed in the vertebrae, as supported by observations of metastases to the abdomen in patients with a ventriculo-peritoneal shunt. 13 The role of IDH has been known since 2008 and was implemented at our institution in 2009. But IDH status was not integrated into the World Health Organization (WHO) classification before 2016 11 and the role of IDH in extracranial metastases can be unclear because of few cases.…”

Section: Discussionmentioning

confidence: 99%

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Extracranial metastases in glioblastoma—Two case stories

Nørøxe

Michaelsen

Broholm

et al. 2018

Clinical Case Reports

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Extracranial metastases in glioblastoma—Two case stories

Nørøxe

Michaelsen

Broholm

et al. 2018

Clinical Case Reports

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“…One patient had been treated with local radiotherapy and systemic chemotherapy after surgery. Metastases of glioma occur along the nerve propagation path [ 23 ] or implant in the peritoneum via a ventriculoperitoneal shunt [ 27 , 28 ]. In addition, radiotherapy can induce a change from glioblastoma to sarcomatoid metaplasia, which can subsequently develop an ability to penetrate vessel walls [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Extracranial metastases of high-grade glioma: the clinical characteristics and mechanism

Sun

et al. 2017

World J Surg Onc

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BackgroundThis presentation of two cases and literature review discusses the epidemiology, clinical manifestations, pathogenesis, diagnosis, treatment, and prognosis of high-grade glioma with extracranial metastases.MethodsA retrospective analysis of the clinical features of two cases of malignant glioma, including metastatic sites, pathological data, and treatment methods, and a literature review was performed.ResultsTwo patients developed extracranial metastases within 1 year after surgery for primary glioma. One patient developed cervical lymph node and bone metastases while the other developed bone metastases, and both patients died within 2 months after the diagnosis of the extracranial metastasis.ConclusionExtracranial metastases may develop from malignant gliomas. According to the literature, the most common extracranial site is intraspinal (along the neural axis), followed by the vertebrae, lungs, liver, and lymph nodes. The complex metastatic mechanism remains unclear, and the prognosis is very poor, with a survival duration of less than 6 months.

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“…Ventriculo-peritoneal shunt should be considered as potential causes for increasing abdominal distention and ascites in patients with histories of intracranial malignancies [7]. …”

Section: Discussionmentioning

confidence: 99%

Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp

Woo

Soo

Sup

2016

Brain Tumor Res Treat

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Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a meningeal sarcoma of frontal meninges. She complained headache for 2 months and palpable forehead mass for 3 weeks. Brain MRI demonstrated a soft tissue mass sized as 5.3×3.7×3.1 cm with well-defined osteolysis on the midline of the frontal bone. The mass attached to anterior falx without infiltration into the brain parenchyme. The tumor had extracranial and extraaxial extension with bone destruction. The tumor was totally removed with craniectomy and she had an adjuvant radiotherapy. However, an isolated subcutaneous metastasis developed at the both preauricular area of the scalp, originating from the scar which was remained the first surgery. After complete removal of this metastasis, she had an adjuvant radiotherapy in other hospital. However, she expired after six months after first surgery. We believe that the occurrence of tumor seeding at the site of incision in the scalp is related to using the fluid for irrigation after tumor resection and the same surgical instruments for the removal of the brain tumor.

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Extracranial, peritoneal seeding of primary malignant brain tumors through ventriculo-peritoneal shunts in children: Case report and review of the literature

Cited by 38 publications

References 18 publications

Extracranial metastases in glioblastoma—Two case stories

Extracranial metastases in glioblastoma—Two case stories

Extracranial metastases of high-grade glioma: the clinical characteristics and mechanism

Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp

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