Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers

Gliosarcoma (GS) constitutes a minor fraction of primary glioblastoma (GBM), which is the most frequent malignant brain tumor in adults. Despite the fact that malignant gliomas are highly invasive, extracranial metastases are very rarely seen, and the mechanisms behind extracranial dissemination are...

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Main Authors: T. Capion, J. Hauerberg, H. Broholm, A. Muhic
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2019/7849616
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author T. Capion
J. Hauerberg
H. Broholm
A. Muhic
author_facet T. Capion
J. Hauerberg
H. Broholm
A. Muhic
author_sort T. Capion
collection DOAJ
description Gliosarcoma (GS) constitutes a minor fraction of primary glioblastoma (GBM), which is the most frequent malignant brain tumor in adults. Despite the fact that malignant gliomas are highly invasive, extracranial metastases are very rarely seen, and the mechanisms behind extracranial dissemination are still unclarified. We report a case of a 55-year-old male with a prior history of two distinct primary cancer types who, as a third independent type, developed GS with penetrating tumor growth to the skull and subcutaneous soft tissue via explosive spreading through a titanium net as well as extracranial metastases to the lumbar spine, paravertebral musculature, and most likely the right lung. The case illuminates the clinical challenge of diagnosing extracranial metastases from primary GBM and GS as these are still unexpected, especially in cases with possible competing diagnoses.
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institution Kabale University
issn 2090-6706
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series Case Reports in Oncological Medicine
spelling doaj-art-f46a0d55a13f459397a8fde74d36f7812025-02-03T06:12:11ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/78496167849616Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary CancersT. Capion0J. Hauerberg1H. Broholm2A. Muhic3Department of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Pathology, Center of Diagnostic Investigation, Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkDepartment of Oncology, The Finsen Centre, Copenhagen University Hospital Rigshospitalet, Copenhagen, DenmarkGliosarcoma (GS) constitutes a minor fraction of primary glioblastoma (GBM), which is the most frequent malignant brain tumor in adults. Despite the fact that malignant gliomas are highly invasive, extracranial metastases are very rarely seen, and the mechanisms behind extracranial dissemination are still unclarified. We report a case of a 55-year-old male with a prior history of two distinct primary cancer types who, as a third independent type, developed GS with penetrating tumor growth to the skull and subcutaneous soft tissue via explosive spreading through a titanium net as well as extracranial metastases to the lumbar spine, paravertebral musculature, and most likely the right lung. The case illuminates the clinical challenge of diagnosing extracranial metastases from primary GBM and GS as these are still unexpected, especially in cases with possible competing diagnoses.http://dx.doi.org/10.1155/2019/7849616
spellingShingle T. Capion
J. Hauerberg
H. Broholm
A. Muhic
Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
Case Reports in Oncological Medicine
title Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
title_full Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
title_fullStr Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
title_full_unstemmed Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
title_short Multiple Extracranial Metastases from Primary Gliosarcoma in a Patient with Two Previous Different Primary Cancers
title_sort multiple extracranial metastases from primary gliosarcoma in a patient with two previous different primary cancers
url http://dx.doi.org/10.1155/2019/7849616
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AT jhauerberg multipleextracranialmetastasesfromprimarygliosarcomainapatientwithtwopreviousdifferentprimarycancers
AT hbroholm multipleextracranialmetastasesfromprimarygliosarcomainapatientwithtwopreviousdifferentprimarycancers
AT amuhic multipleextracranialmetastasesfromprimarygliosarcomainapatientwithtwopreviousdifferentprimarycancers