Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report

Background: Transformation to glioblastoma following recurrent epidermoid cyst resection has not been reported. Chronic inflammation can underlie malignant transformation of epidermoid cysts. Astrogliosis following repeated resections may have induced the rare transformation to glioblastoma. Clinica...

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Main Authors: Paul MacMahon, Collin M Labak, Sarah E Martin-Bach, Ahmad Issawi, Kiran Velpula, Andrew J Tsung
Format: Article
Language:English
Published: Taylor & Francis Group 2018-12-01
Series:CNS Oncology
Subjects:
Online Access:https://www.futuremedicine.com/doi/10.2217/cns-2018-0002
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author Paul MacMahon
Collin M Labak
Sarah E Martin-Bach
Ahmad Issawi
Kiran Velpula
Andrew J Tsung
author_facet Paul MacMahon
Collin M Labak
Sarah E Martin-Bach
Ahmad Issawi
Kiran Velpula
Andrew J Tsung
author_sort Paul MacMahon
collection DOAJ
description Background: Transformation to glioblastoma following recurrent epidermoid cyst resection has not been reported. Chronic inflammation can underlie malignant transformation of epidermoid cysts. Astrogliosis following repeated resections may have induced the rare transformation to glioblastoma. Clinical presentation: A patient presenting with left lower extremity weakness was found to harbor a parietal mass lesion. Histopathology demonstrated an epidermoid cyst. Following multiple re-resections, an intra-axial mass was discovered within the operative bed, confirmed as glioblastoma. Conclusion: This is the first report of glioblastoma associated with a resected epidermoid cyst. Subsequent to resection, the chronic inflammatory milieu propagated by astrogliosis is thought to have induced malignancy. The progression to glioblastoma draws attention to neoplastic transformation in the context of recurrent epidermoids.
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series CNS Oncology
spelling doaj-art-7e154a75df224bffab79a47fa5765e882025-08-20T02:26:02ZengTaylor & Francis GroupCNS Oncology2045-09072045-09152018-12-017410.2217/cns-2018-0002Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case reportPaul MacMahon0Collin M Labak1Sarah E Martin-Bach2Ahmad Issawi3Kiran Velpula4Andrew J Tsung51Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL, 61605, USA3Department of Cancer Biology & Pharmacology, University of Illinois College of Medicine at Peoria, Peoria, IL, 61605, USA4Department of Pathology, University of Illinois College of Medicine at Peoria, Peoria, IL, USA1Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL, 61605, USA3Department of Cancer Biology & Pharmacology, University of Illinois College of Medicine at Peoria, Peoria, IL, 61605, USA1Department of Neurosurgery, University of Illinois College of Medicine at Peoria, Peoria, IL, 61605, USABackground: Transformation to glioblastoma following recurrent epidermoid cyst resection has not been reported. Chronic inflammation can underlie malignant transformation of epidermoid cysts. Astrogliosis following repeated resections may have induced the rare transformation to glioblastoma. Clinical presentation: A patient presenting with left lower extremity weakness was found to harbor a parietal mass lesion. Histopathology demonstrated an epidermoid cyst. Following multiple re-resections, an intra-axial mass was discovered within the operative bed, confirmed as glioblastoma. Conclusion: This is the first report of glioblastoma associated with a resected epidermoid cyst. Subsequent to resection, the chronic inflammatory milieu propagated by astrogliosis is thought to have induced malignancy. The progression to glioblastoma draws attention to neoplastic transformation in the context of recurrent epidermoids.https://www.futuremedicine.com/doi/10.2217/cns-2018-0002epidermoid cystglioblastomamalignant transformation
spellingShingle Paul MacMahon
Collin M Labak
Sarah E Martin-Bach
Ahmad Issawi
Kiran Velpula
Andrew J Tsung
Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
CNS Oncology
epidermoid cyst
glioblastoma
malignant transformation
title Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
title_full Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
title_fullStr Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
title_full_unstemmed Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
title_short Glioblastoma formation in a recurrent intracranial epidermoid cyst: a case report
title_sort glioblastoma formation in a recurrent intracranial epidermoid cyst a case report
topic epidermoid cyst
glioblastoma
malignant transformation
url https://www.futuremedicine.com/doi/10.2217/cns-2018-0002
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AT collinmlabak glioblastomaformationinarecurrentintracranialepidermoidcystacasereport
AT sarahemartinbach glioblastomaformationinarecurrentintracranialepidermoidcystacasereport
AT ahmadissawi glioblastomaformationinarecurrentintracranialepidermoidcystacasereport
AT kiranvelpula glioblastomaformationinarecurrentintracranialepidermoidcystacasereport
AT andrewjtsung glioblastomaformationinarecurrentintracranialepidermoidcystacasereport