Dysembryoplastic neuroepithelial tumor with rapid recurrence of pilocytic astrocytoma component

Brain Tumor Pathol. 2014 Apr;31(2):144-8. doi: 10.1007/s10014-013-0155-z. Epub 2013 Jul 24.

Abstract

Dysembryoplastic neuroepithelial tumor (DNT) rarely has aggressive behavior with recurrence. The authors describe a case of DNT with rapid re-growth and features of pilocytic astrocytoma. A 19-year-old girl presented with a 3-year history of complex partial seizure, which was presumably because of DNT located in the left parietal lobe. The tumor was resected, although a tiny residual lesion with cystic space enlarged with ring enhancement identified on MRI 14 days after surgery resulted in re-excision. The recurrent tumor was eventually proved to be predominantly composed of pilocytic astrocytoma. DNT is known to recur only rarely as a tumor with morphologically different components, and no cases of recurrent DNT with rapidly-growing pilocytic astrocytoma have hitherto been reported in the literature. This phenomenon may be histological "replacement" at recurrence.

Publication types

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

MeSH terms

  • Adult
  • Astrocytoma / diagnosis
  • Astrocytoma / pathology*
  • Astrocytoma / surgery
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery
  • Epilepsies, Partial / etiology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasm Recurrence, Local
  • Neoplasms, Multiple Primary*
  • Neoplasms, Neuroepithelial / diagnosis
  • Neoplasms, Neuroepithelial / pathology*
  • Neoplasms, Neuroepithelial / surgery
  • Parietal Lobe
  • Reoperation
  • Young Adult