Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade

The article presents a clinical case of atypical teratoid rhabdoid tumor with one of the longest catamnesis described in literature (109 months) and high quality of life. first, a giant tumor of the frontal lobe with advancement into a lateral ventricle was found in a female patient and totally remo...

Full description

Saved in:
Bibliographic Details
Main Authors: V. B.  Karakhan, E. V. Prozorenko, G.  L.  Mentkevich, I. S. Dolgopolov, N.  V. Sevyan, D.  M. Belov
Format: Article
Language:Russian
Published: ABV-press 2022-12-01
Series:Опухоли головы и шеи
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/821
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849401751826857984
author V. B.  Karakhan
E. V. Prozorenko
G.  L.  Mentkevich
I. S. Dolgopolov
N.  V. Sevyan
D.  M. Belov
author_facet V. B.  Karakhan
E. V. Prozorenko
G.  L.  Mentkevich
I. S. Dolgopolov
N.  V. Sevyan
D.  M. Belov
author_sort V. B.  Karakhan
collection DOAJ
description The article presents a clinical case of atypical teratoid rhabdoid tumor with one of the longest catamnesis described in literature (109 months) and high quality of life. first, a giant tumor of the frontal lobe with advancement into a lateral ventricle was found in a female patient and totally removed. It was histologically diagnosed as primitive neuroectodermal tumor. Combination treatment consisting of radiotherapy, high-dose polychemotherapy and cellular immunotherapy including intrathecal therapy led to 4-year recurrence-free period. Recurrence of the tumor was resected. The period of the 2nd remission was 34 months. Subsequently, multistage metastasis of the tumor through cerebrospinal fluid tracts of the brain and spinal cord was observed. Twice microsurgical treatment with removal of symptomatic metastases in ventricles Iv and III was performed. In repeat morphological examinations, the tumor was verified as atypical teratoid rhabdoid tumor. The presented clinical case shows the role of active surgical tactics in effective long-term combination treatment of this severe pathology.
format Article
id doaj-art-37df1b3307974b3eab5d5bdbc38f649f
institution Kabale University
issn 2222-1468
2411-4634
language Russian
publishDate 2022-12-01
publisher ABV-press
record_format Article
series Опухоли головы и шеи
spelling doaj-art-37df1b3307974b3eab5d5bdbc38f649f2025-08-20T03:37:42ZrusABV-pressОпухоли головы и шеи2222-14682411-46342022-12-0112312713510.17650/2222-1468-2022-12-3-127-135515Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascadeV. B.  Karakhan0E. V. Prozorenko1G.  L.  Mentkevich2I. S. Dolgopolov3N.  V. Sevyan4D.  M. Belov5N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaTver’ State Medical University, Ministry of Health of RussiaTver’ State Medical University, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaThe article presents a clinical case of atypical teratoid rhabdoid tumor with one of the longest catamnesis described in literature (109 months) and high quality of life. first, a giant tumor of the frontal lobe with advancement into a lateral ventricle was found in a female patient and totally removed. It was histologically diagnosed as primitive neuroectodermal tumor. Combination treatment consisting of radiotherapy, high-dose polychemotherapy and cellular immunotherapy including intrathecal therapy led to 4-year recurrence-free period. Recurrence of the tumor was resected. The period of the 2nd remission was 34 months. Subsequently, multistage metastasis of the tumor through cerebrospinal fluid tracts of the brain and spinal cord was observed. Twice microsurgical treatment with removal of symptomatic metastases in ventricles Iv and III was performed. In repeat morphological examinations, the tumor was verified as atypical teratoid rhabdoid tumor. The presented clinical case shows the role of active surgical tactics in effective long-term combination treatment of this severe pathology.https://ogsh.abvpress.ru/jour/article/view/821atypical teratoid rhabdoid tumorintrathecal immunotherapyintraventricular metastases
spellingShingle V. B.  Karakhan
E. V. Prozorenko
G.  L.  Mentkevich
I. S. Dolgopolov
N.  V. Sevyan
D.  M. Belov
Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
Опухоли головы и шеи
atypical teratoid rhabdoid tumor
intrathecal immunotherapy
intraventricular metastases
title Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
title_full Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
title_fullStr Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
title_full_unstemmed Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
title_short Atypical teratoid rhabdoid tumor with intratumoral advancement: significance of active surgical approach in long-term disease (109 months) with metastatic cascade
title_sort atypical teratoid rhabdoid tumor with intratumoral advancement significance of active surgical approach in long term disease 109 months with metastatic cascade
topic atypical teratoid rhabdoid tumor
intrathecal immunotherapy
intraventricular metastases
url https://ogsh.abvpress.ru/jour/article/view/821
work_keys_str_mv AT vbkarakhan atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade
AT evprozorenko atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade
AT glmentkevich atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade
AT isdolgopolov atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade
AT nvsevyan atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade
AT dmbelov atypicalteratoidrhabdoidtumorwithintratumoraladvancementsignificanceofactivesurgicalapproachinlongtermdisease109monthswithmetastaticcascade