ISSN 1004-4140
CN 11-3017/P
CHENG S L, WANG Q, WANG Y C, et al. Clinical Case Analysis of Atypical Malformation/Rhabdoid Tumor of the Central Nervous System[J]. CT Theory and Applications, xxxx, x(x): 1-7. DOI: 10.15953/j.ctta.2024.228. (in Chinese).
Citation: CHENG S L, WANG Q, WANG Y C, et al. Clinical Case Analysis of Atypical Malformation/Rhabdoid Tumor of the Central Nervous System[J]. CT Theory and Applications, xxxx, x(x): 1-7. DOI: 10.15953/j.ctta.2024.228. (in Chinese).

Clinical Case Analysis of Atypical Malformation/Rhabdoid Tumor of the Central Nervous System

More Information
  • Received Date: October 16, 2024
  • Revised Date: December 30, 2024
  • Accepted Date: January 20, 2025
  • Available Online: February 16, 2025
  • Objective: To explore the clinical manifestations, histopathological features, and imaging characteristics of atypical malformation/rhabdoid tumor (atypical teratoid/rhabdoid tumor) of the central nervous system, to improve the ability of imaging diagnosis and differential diagnosis of this disease. Methods: Clinical realization and imaging findings of an atypical abnormal pattern/rhabdoid were reviewed. Results: Computed tomography revealed a slightly dense right frontal lobe and the lesion had a significant occupancy effect with a visible band of nodular edema around it. The bone window showed no adjacent bone destruction. Magnetic resonance imaging (MRI) revealed the lesion as low signal on T1 and T2-weighted imaging, and fluid attenuation and inversion recovery had a slightly higher signal. A diffusion-weighted imaging sequence showed high signal, uniform lesion signal, and lobulation. MRI enhancement showed less uniform enhancement, edge line enhancement, and a broad base attached to the brain stem. Results: Atypical teratoid / rhabdoid tumors of the central nervous system are rare, with diverse clinical manifestations, lack of specificity of imaging findings, and histopathological examination is still required for diagnosis.

  • [1]
    FRUHWALD M C, HASSELBLATT M, NEMES K, et al. Age and DNA methylation subgroup as potential independent risk factors for treatment stratification in children with atypical teratoid/rhabdoid tumors[J]. Neuro Oncology, 2020, 22(7): 1006-1017. DOI: 10.1093/neuonc/noz244.
    [2]
    HILDEN J M, MEERBAUM S, BURGER P, et al. Central nervous system atypical teratoid/rhabdoid tumor: results of therapy in children enrolled in a registry[J]. Journal of Clinical Oncology, 2004, 22(14): 2877-2884. DOI: 10.1200/JCO.2004.07.073.
    [3]
    BIGGS P J, GAREN P D, POWERS J M, et al. Malignant rhabdoid tumor of the central nervous system[J]. Hum Pathol, 1987, 18(4): 332-337. DOI: 10.1016/s0046-8177(87)80161-2.
    [4]
    RORKE L B, PACKER R J, BIEGEL J A. Central nervous system atypical teratoid/rhabdoid tumors of infancy and childhood: Definition of an entity[J]. Journal of Neurosurgery, 1996, 85(1): 56-65. DOI: 10.3171/jns.1996.85.1.0056.
    [5]
    OSTROM Q T, CHEN Y, M DE BLANK P, et al. The descriptive epidemiology of atypical teratoid/rhabdoid tumors in the United States, 2001-2010[J]. Neuro-Oncology, 2014, 16(10): 1392-1399. DOI: 10.1093/neuonc/nou090.
    [6]
    SIDDIQUI M, THOMS D, SAMPLES D, et al. Atypical teratoid/rhabdoid tumor presenting with sub-arachnoid and intraventricular hemorrhage[J]. Surgical Neurology International, 2019, 10: 139. DOI: 10.25259/SNI-59-2019.
    [7]
    曾光, 彭雪华, 邵剑波. 儿童颅内非典型畸胎瘤样/横纹肌样瘤的影像表现[J]. 放射学实践, 2023, 38(8): 1050-1054. DOI: 10.13609/j.cnki.1000-0313.2023.08.016.

    ZENG G, PENG X H, SHAO J B. Imaging findings of intracranial atypical teratoma/rhabdomid ids in children[J]. Radiology Practice, 2023, 38(8): 1050-1054. DOI: 10.13609/j.cnki.1000-0313.2023.08.016.
    [8]
    AU Y K, JAREMKO J L, JANS L, et al. How specific is the MRI appearance of supratentorial atypical teratoid rhabdoid tumors?[J]. Pediatric Radiology, 2013, 43(3): 347-354. DOI: 10.1007/s00247-012-2530-z.
    [9]
    MEYERS S P, KHADEMIAN Z P, BIEGEL J A, et al. Primary intracranial atypical teratoid/rhabdoid tumors of infancy and childhood: MRI features and patient outcomes[J]. American Journal of Neuroradiolog, 2006, 27(5): 962-971.
    [10]
    沈文婷, 沈全力, 乔中伟. 颅内非典型畸胎瘤样/横纹肌样瘤的影像学表现(附6例报道)[J]. 放射学实践, 2015, 30(6): 638-642. DOI: 10.13609/j.cnki.1000-0313.2015.06.008.

    SHEN W T, SHEN Q L, QIAO Z W. Imaging findings of intracranial atypical teratoma/rhabdomyoid tumors (reported with 6 cases)[J]. Radiology Practice, 2015, 30(6): 638-642. DOI: 10.13609/j.cnki.1000-0313.2015.06.008.
    [11]
    尹国阳 司俊臣, 肖以磊, 等. 儿童颅内非典型畸胎样/横纹肌样瘤1例[J]. 中国神经精神疾病杂志, 2022, 48(2): 112-115. DOI: 10.3969/j.issn.1002-0152.2022.02.010.

    YIN G Y, SI J C, XIAO Y L, et al. An intracranial atypical teratoid / rhabdomyoid tumor in a child[J]. The Chinese Journal of Neuropsychiatric Disorders, 2022, 48(2): 112-115. DOI: 10.3969/j.issn.1002-0152.2022.02.010.
    [12]
    FISCHER-VALUCK B W, CHEN I, SRIVASTAVA A J, et al. Assessment of the treatment approach and survival outcomes in a modern cohort of patients with atypical teratoid rhabdoid tumors using the National Cancer Database[J]. Cancer. 2017, 123(4): 682-687. DOI: 10.1002/cncr.30405.
    [13]
    BUSCARIOLLO D L, PARK H S, ROBERTS K B, et al. Survival outcomes in atypical teratoid rhabdoid tumor for patients undergoing radiotherapy in a Surveillance, Epidemiology, and End Results analysis[J]. Cancer, 2012, 118(17): 4212-4219. DOI: 10.1002/cncr.27373.
    [14]
    CHEN Y W, WONG T T, HO D M, et al. Impact of radiotherapy for pediatric CNS atypical teratoid/rhabdoid tumor (single institute experience)[J]. International Journal of Radiation Oncology-Biology-Physics, 2006, 64(4): 1038-1043. DOI: 10.1016/j.ijrobp.2005.10.001.
    [15]
    SUNG K W, LIM D H, YI E S, et al. Tandem high-dose chemotherapy and autologous stem cell transplantation for atypical teratoid/rhabdoid tumor[J]. Cancer Research and Treatment, 2016, 48(4): 1408-1419. DOI: 10.4143/crt.2015.347.
    [16]
    BARTELHEIM K, NEMES K, SEERINGER A, et al. Improved 6-year overall survival in AT/RT - results of the registry study Rhabdoid 2007[J]. Cancer Medicine, 2016, 5(8): 1765-1775. DOI: 10.1002/cam4.741.

Catalog

    Article views (34) PDF downloads (8) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return