Malignant transformation of desmoplastic infantile tumors in a non-infant: a case report

Yan Yang1, Bin Tian1, Xuzhu Chen2

  • 1Department of Radiology, The Second People's Hospital of Guiyang, Guiyang, China.

Frontiers in Oncology
|December 13, 2023
PubMed

Insights

This case report details a rare instance of desmoplastic infantile tumors (DITs) transforming into glioblastoma multiforme, leading to metastasis. It highlights the critical need for vigilance regarding potential malignant changes in DITs.

Area of Science:

  • Pediatric Oncology
  • Neuro-oncology
  • Pathology

Background:

  • Desmoplastic infantile tumors (DITs) are rare intracranial neoplasms typically exhibiting benign behavior in infants.
  • Malignant transformation of DITs is exceptionally uncommon, making such cases significant for understanding tumor progression.

Observation:

  • A 6-year-old girl with DITs underwent initial surgical resection.
  • The tumor recurred 12 years later, with pathology confirming malignant transformation to glioblastoma multiforme.
  • The patient subsequently developed intraspinal metastasis and multiple spinal cord metastases.

Findings:

  • This case demonstrates a late-stage malignant transformation of DITs into glioblastoma multiforme.
  • The progression involved cranial recurrence, followed by extensive intraspinal and spinal cord metastasis.
  • Imaging studies (CT and MRI) were crucial in assessing the tumor's transformation and spread.

Implications:

  • Highlights the potential for desmoplastic infantile tumors to undergo malignant transformation, even years after initial diagnosis.
  • Underscores the importance of long-term surveillance for patients with DITs due to the risk of aggressive recurrence and metastasis.
  • Suggests a need for further research into the mechanisms driving DIT malignant transformation and metastasis.

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