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Multicentric gliomas: report of 2 cases
A Pathak1, B S Sharma, V K Kak
1Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Cancer
|December 1, 1993
Summary
This study reports two rare cases of multicentric gliomas, a type of brain tumor, in patients who experienced long-term survival. These findings highlight the potential for extended survival even with complex glioma presentations.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Radiology
Background:
- Multicentric gliomas are rare primary brain tumors.
- Understanding their origin and prognosis is crucial for treatment planning.
Observation:
- Two cases of multicentric gliomas with long survival are presented.
- One patient had multiple surgeries, while the other underwent two simultaneous procedures.
- Calcification on CT scan suggested oligodendroglioma preoperatively in one case.
Findings:
- Lack of tumor continuity and subarachnoid enhancement on CT scans supported a multicentric origin.
- Low histological grade of the tumors was noted.
- The incidence of multicentric gliomas was observed to be 0.4% in 500 glial tumors over eight years.
Implications:
- These cases demonstrate long-term survival possibilities for multicentric gliomas.
- Advanced imaging and histological grading aid in diagnosing primary multicentric origin.
- Further research into the incidence and management of these rare tumors is warranted.