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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.
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.
Abstract:
Desmoplastic infantile tumors (DITs) are rare benign intracranial tumors in infants with benign biological behavior and rare malignant transformation characteristics. We present a DIT case that underwent malignant transformation and metastasis. A 6-year-old girl presented with DITs and underwent surgical resection. 12 years later, the tumor recurred and underwent surgical resection again. The pathology report confirmed the lesion to be a glioblastoma multiforme. She received adjuvant treatment. A year after the surgical operation of the lesions, she had intraspinal metastasis and underwent surgical resection again. Multiple spinal cord metastases were subsequently identified in the patient. The patient's condition exhibited severe deterioration during the follow-up period. This case report focuses on the occurrence of DITs and their potential malignant transformation, as assessed through computed tomography and magnetic resonance imaging.
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