Skip to main content
Top
Published in: Journal of Neuro-Oncology 2/2010

01-11-2010 | Case Report

Radiation-induced cerebellar high-grade glioma accompanied by meningioma and cavernoma 29 years after the treatment of medulloblastoma: a case report

Authors: Tomoya Kamide, Mitsutoshi Nakada, Yutaka Hayashi, Tomohide Suzuki, Yasuhiko Hayashi, Naoyuki Uchiyama, Tamotsu Kijima, Jun-ichiro Hamada

Published in: Journal of Neuro-Oncology | Issue 2/2010

Login to get access

Abstract

Here, we report the case of a patient with cerebellar high-grade glioma that developed after the patient underwent treatment for medulloblastoma. A 34-year-old man visited our hospital with complaints of dizziness and truncal ataxia. Magnetic resonance image showed a cerebellar tumor with multiple cavernomas and two lesions that were suspected to be meningiomas. The cerebellar tumor was surgically removed. According to pathological examination, the tumor was a high-grade glioma that was positive for methylated O-6-methylguanine-DNA methyltransferase promoter. In the past, he had received radiotherapy at the age of 5, after which he was operated for desmoplastic medulloblastoma in his right cerebellar hemisphere. Seven years after the initial therapy, cavernoma-induced intracerebral hemorrhage of the right temporal lobe was noted. To our knowledge, this is the first case of radiation-induced double intracranial tumors accompanied by symptomatic cavernoma.
Literature
1.
go back to reference Pettorini LB, Park Y-S, Caldarelli M et al (2008) Radiation-induced brain tumours after central nervous system irradiation in childhood: a review. Childs Nerv Syst 24:793–805CrossRefPubMed Pettorini LB, Park Y-S, Caldarelli M et al (2008) Radiation-induced brain tumours after central nervous system irradiation in childhood: a review. Childs Nerv Syst 24:793–805CrossRefPubMed
2.
go back to reference Salvati M, D’Elia A, Melone GA et al (2008) Radio-induced gliomas: 20-year experience and critical review of the pathology. J Neurooncol 89:169–177CrossRefPubMed Salvati M, D’Elia A, Melone GA et al (2008) Radio-induced gliomas: 20-year experience and critical review of the pathology. J Neurooncol 89:169–177CrossRefPubMed
3.
go back to reference Burn S, Gunny R, Phipps K et al (2007) Incidence of cavernoma development in children after radiotherapy for brain tumors. J Neurosurg 106(5 Suppl Pediatrics):379–383PubMed Burn S, Gunny R, Phipps K et al (2007) Incidence of cavernoma development in children after radiotherapy for brain tumors. J Neurosurg 106(5 Suppl Pediatrics):379–383PubMed
4.
go back to reference Gessi M, Maderna E, Guzzetti S et al (2008) Radiation-induced glioblastoma in a medulloblastoma patient: a case report with molecular features. Neuropathology 28:633–639PubMed Gessi M, Maderna E, Guzzetti S et al (2008) Radiation-induced glioblastoma in a medulloblastoma patient: a case report with molecular features. Neuropathology 28:633–639PubMed
5.
go back to reference Furuta T, Sugiu K, Tamiya T et al (1998) Malignant cerebellar astrocytoma developing 15 years after radiation therapy for a medulloblastoma. Clin Neurol Neurosurg 100:56–59CrossRefPubMed Furuta T, Sugiu K, Tamiya T et al (1998) Malignant cerebellar astrocytoma developing 15 years after radiation therapy for a medulloblastoma. Clin Neurol Neurosurg 100:56–59CrossRefPubMed
6.
go back to reference Sasayama T, Nishihara M, Tanaka K et al (2008) Two metachronous tumors induced by radiation therapy: case report and review of the literature. J Neurooncol 88:315–320CrossRefPubMed Sasayama T, Nishihara M, Tanaka K et al (2008) Two metachronous tumors induced by radiation therapy: case report and review of the literature. J Neurooncol 88:315–320CrossRefPubMed
7.
go back to reference Makidono A, Kobayashi N, Saida Y et al (2009) Metachronous gliomas following cranial irradiation for mixed germ cell tumors. Childs Nerv Syst 25:713–718CrossRefPubMed Makidono A, Kobayashi N, Saida Y et al (2009) Metachronous gliomas following cranial irradiation for mixed germ cell tumors. Childs Nerv Syst 25:713–718CrossRefPubMed
8.
go back to reference Tsutsumi S, Yasumoto Y, Ito M (2009) Pediatric multicentric glioma occurring after cranial irradiation. J Clin Neurosci 16:1086–1088CrossRefPubMed Tsutsumi S, Yasumoto Y, Ito M (2009) Pediatric multicentric glioma occurring after cranial irradiation. J Clin Neurosci 16:1086–1088CrossRefPubMed
9.
go back to reference Hegi ME, Diserens AC, Gorlia T et al (2005) MGMT gene silencing and benefit from temozolomide in glioblastoma. N Engl J Med 352:997–1003CrossRefPubMed Hegi ME, Diserens AC, Gorlia T et al (2005) MGMT gene silencing and benefit from temozolomide in glioblastoma. N Engl J Med 352:997–1003CrossRefPubMed
10.
go back to reference Hegi ME, Diserens AC, Godard S et al (2004) Clinical trial substantiates the predictive value of O-6-methylguanine-DNA methyltransferase promoter methylation in glioblastoma patients treated with temozolomide. Clin Cancer Res 10:1871–1874CrossRefPubMed Hegi ME, Diserens AC, Godard S et al (2004) Clinical trial substantiates the predictive value of O-6-methylguanine-DNA methyltransferase promoter methylation in glioblastoma patients treated with temozolomide. Clin Cancer Res 10:1871–1874CrossRefPubMed
11.
go back to reference Palmisano WA, Divine KK, Saccomanno G et al (2000) Predicting lung cancer by detecting aberrant promoter methylation in sputum. Cancer Res 60:5954–5958PubMed Palmisano WA, Divine KK, Saccomanno G et al (2000) Predicting lung cancer by detecting aberrant promoter methylation in sputum. Cancer Res 60:5954–5958PubMed
12.
go back to reference Herman JG, Graff JR, Myohanen S et al (1996) Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands. Proc Natl Acad Sci USA 93:9821–9826CrossRefPubMed Herman JG, Graff JR, Myohanen S et al (1996) Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands. Proc Natl Acad Sci USA 93:9821–9826CrossRefPubMed
13.
go back to reference Crawford JR, MacDonald TJ, Packer RJ (2007) Medulloblastoma in childhood: new biological advances. Lancet Neurol 6:1073–1085CrossRefPubMed Crawford JR, MacDonald TJ, Packer RJ (2007) Medulloblastoma in childhood: new biological advances. Lancet Neurol 6:1073–1085CrossRefPubMed
14.
go back to reference Cahan WG, Woodard HQ, Higinbotham NL et al (1948) Sarcoma arising in irradiated bone: report of eleven cases. Cancer 82:8–34CrossRef Cahan WG, Woodard HQ, Higinbotham NL et al (1948) Sarcoma arising in irradiated bone: report of eleven cases. Cancer 82:8–34CrossRef
15.
go back to reference Jain R, Robertson PL, Gandhi D et al (2005) Radiation-induced cavernomas of the brain. AJNR Am J Neuroradiol 26:1158–1162PubMed Jain R, Robertson PL, Gandhi D et al (2005) Radiation-induced cavernomas of the brain. AJNR Am J Neuroradiol 26:1158–1162PubMed
16.
go back to reference Heckl S, Aschoff A, Kunze S (2002) Radiation-induced cavernous hemangiomas of the brain. Cancer 94:3285–3291CrossRefPubMed Heckl S, Aschoff A, Kunze S (2002) Radiation-induced cavernous hemangiomas of the brain. Cancer 94:3285–3291CrossRefPubMed
17.
go back to reference Lew SM, Morgan JN, Psaty E et al (2006) Cumulative incidence of radiation-induced cavernomas in long-term survivors of medulloblastoma. J Neurosurg (2 Suppl Pediatrics) 104:103–107 Lew SM, Morgan JN, Psaty E et al (2006) Cumulative incidence of radiation-induced cavernomas in long-term survivors of medulloblastoma. J Neurosurg (2 Suppl Pediatrics) 104:103–107
18.
go back to reference Strojan P, Popović M, Jereb B (2000) Secondary intracranial meningiomas after high-dose cranial irradiation: report of five cases and review of the literature. Int J Radiat Oncol Biol Phys 48:65–73CrossRefPubMed Strojan P, Popović M, Jereb B (2000) Secondary intracranial meningiomas after high-dose cranial irradiation: report of five cases and review of the literature. Int J Radiat Oncol Biol Phys 48:65–73CrossRefPubMed
19.
go back to reference de Bont JM, Packer RJ, Michiels EM et al (2008) Biological background of pediatric medulloblastoma and ependymoma: a review from a translational research perspective. Neuro Oncol 10:1040–1060CrossRefPubMed de Bont JM, Packer RJ, Michiels EM et al (2008) Biological background of pediatric medulloblastoma and ependymoma: a review from a translational research perspective. Neuro Oncol 10:1040–1060CrossRefPubMed
20.
go back to reference Leonard JM, Ye H, Wetmore C et al (2008) Sonic hedgehog signaling impairs ionizing radiation-induced checkpoint activation and induces genomic instability. J Cell Biol 183:385–391CrossRefPubMed Leonard JM, Ye H, Wetmore C et al (2008) Sonic hedgehog signaling impairs ionizing radiation-induced checkpoint activation and induces genomic instability. J Cell Biol 183:385–391CrossRefPubMed
21.
go back to reference Brandes AA, Franceschi E, Tosoni A et al (2009) Temozolomide concomitant and adjuvant to radiotherapy in elderly patients with glioblastoma. Cancer 115:3512–3518CrossRefPubMed Brandes AA, Franceschi E, Tosoni A et al (2009) Temozolomide concomitant and adjuvant to radiotherapy in elderly patients with glioblastoma. Cancer 115:3512–3518CrossRefPubMed
22.
go back to reference Hegi ME, Liu L, Herman JG et al (2008) Correlation of O6-methylguanine methyltransferase (MGMT) promoter methylation with clinical outcomes in glioblastoma and clinical strategies to modulate MGMT activity. J Clin Oncol 26:4189–4199CrossRefPubMed Hegi ME, Liu L, Herman JG et al (2008) Correlation of O6-methylguanine methyltransferase (MGMT) promoter methylation with clinical outcomes in glioblastoma and clinical strategies to modulate MGMT activity. J Clin Oncol 26:4189–4199CrossRefPubMed
23.
go back to reference Ishii D, Natsume A, Wakabayashi T et al (2007) Efficacy of temozolomide is correlated with 1p loss and methylation of the deoxyribonucleic acid repair gene MGMT in malignant gliomas. Neurol Med Chir (Tokyo) 47:341–349CrossRef Ishii D, Natsume A, Wakabayashi T et al (2007) Efficacy of temozolomide is correlated with 1p loss and methylation of the deoxyribonucleic acid repair gene MGMT in malignant gliomas. Neurol Med Chir (Tokyo) 47:341–349CrossRef
24.
go back to reference Stummer W, Novotny A, Stepp H et al (2000) Fluorescence-guided resection of glioblastoma multiforme by using 5-aminolevulinic acid-induced porphyrins: a prospective study in 52 consecutive patients. J Neurosurg 93:1003–1013CrossRefPubMed Stummer W, Novotny A, Stepp H et al (2000) Fluorescence-guided resection of glioblastoma multiforme by using 5-aminolevulinic acid-induced porphyrins: a prospective study in 52 consecutive patients. J Neurosurg 93:1003–1013CrossRefPubMed
25.
go back to reference Utsuki S, Oka H, Sato S et al (2007) Histological examination of false positive tissue resection using 5-aminolevulinic acid-induced fluorescence guidance. Neurol Med Chir (Tokyo) 47:210–214CrossRef Utsuki S, Oka H, Sato S et al (2007) Histological examination of false positive tissue resection using 5-aminolevulinic acid-induced fluorescence guidance. Neurol Med Chir (Tokyo) 47:210–214CrossRef
26.
go back to reference Stummer W, Pichlmeier U, Meinel T et al (2006) Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 7:392–401CrossRefPubMed Stummer W, Pichlmeier U, Meinel T et al (2006) Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 7:392–401CrossRefPubMed
27.
go back to reference Ishihara R, Katayama Y, Watanabe T et al (2007) Quantitative spectroscopic analysis of 5-aminolevulinic acid-induced protoporphyrin IX fluorescence intensity in diffusely infiltrating astrocytomas. Neurol Med Chir (Tokyo) 47:53–57CrossRef Ishihara R, Katayama Y, Watanabe T et al (2007) Quantitative spectroscopic analysis of 5-aminolevulinic acid-induced protoporphyrin IX fluorescence intensity in diffusely infiltrating astrocytomas. Neurol Med Chir (Tokyo) 47:53–57CrossRef
Metadata
Title
Radiation-induced cerebellar high-grade glioma accompanied by meningioma and cavernoma 29 years after the treatment of medulloblastoma: a case report
Authors
Tomoya Kamide
Mitsutoshi Nakada
Yutaka Hayashi
Tomohide Suzuki
Yasuhiko Hayashi
Naoyuki Uchiyama
Tamotsu Kijima
Jun-ichiro Hamada
Publication date
01-11-2010
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 2/2010
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-010-0166-0

Other articles of this Issue 2/2010

Journal of Neuro-Oncology 2/2010 Go to the issue