Secondary meningioma in a long-term survivor of atypical teratoid/rhabdoid tumour with a germline INI1 mutation

Childs Nerv Syst. 2008 Jul;24(7):855-7. doi: 10.1007/s00381-007-0578-0. Epub 2008 Jan 31.

Abstract

Objective: We report on a patient who developed a meningioma more than two decades after removal at a young age of an atypical teratoid/rhabdoid tumour (AT/RT), which was due to a germline INI1 mutation, and radio- and chemotherapy.

Materials and methods: We present genetic evidence that the meningioma is not a recurrence or metastasis of the AT/RT and not due to the INI1 mutation, but is a radiation-induced tumour.

Conclusion: This is the first case illustrating that improved survival of young patients with an AT/RT after aggressive treatment may be gained at the cost of an increased risk for the development of radiation-induced, non-INI1-related tumours.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chromosomal Proteins, Non-Histone / genetics*
  • DNA-Binding Proteins / genetics*
  • Genetic Predisposition to Disease
  • Humans
  • Loss of Heterozygosity
  • Male
  • Meningioma / genetics
  • Meningioma / secondary*
  • Mutation / genetics*
  • Polymorphism, Single Nucleotide
  • Radiotherapy / adverse effects
  • Radiotherapy / methods
  • Rhabdoid Tumor / genetics*
  • Rhabdoid Tumor / pathology
  • Rhabdoid Tumor / radiotherapy
  • SMARCB1 Protein
  • Transcription Factors / genetics*

Substances

  • Chromosomal Proteins, Non-Histone
  • DNA-Binding Proteins
  • SMARCB1 Protein
  • SMARCB1 protein, human
  • Transcription Factors