Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2017

Open Access 01-12-2017 | Review

Extracranial metastases of high-grade glioma: the clinical characteristics and mechanism

Authors: Qian Sun, Rui Xu, Hongbo Xu, Gengming Wang, Xueming Shen, Hao Jiang

Published in: World Journal of Surgical Oncology | Issue 1/2017

Login to get access

Abstract

Background

This presentation of two cases and literature review discusses the epidemiology, clinical manifestations, pathogenesis, diagnosis, treatment, and prognosis of high-grade glioma with extracranial metastases.

Methods

A retrospective analysis of the clinical features of two cases of malignant glioma, including metastatic sites, pathological data, and treatment methods, and a literature review was performed.

Results

Two patients developed extracranial metastases within 1 year after surgery for primary glioma. One patient developed cervical lymph node and bone metastases while the other developed bone metastases, and both patients died within 2 months after the diagnosis of the extracranial metastasis.

Conclusion

Extracranial metastases may develop from malignant gliomas. According to the literature, the most common extracranial site is intraspinal (along the neural axis), followed by the vertebrae, lungs, liver, and lymph nodes. The complex metastatic mechanism remains unclear, and the prognosis is very poor, with a survival duration of less than 6 months.
Literature
1.
go back to reference Diamond EL, Corner GW, De Rosa A, Breitbart W, Applebaum AJ. Prognostic awareness and communication of prognostic information in malignant glioma: a systematic review. J Neuro-Oncol. 2014;119:227–34.CrossRef Diamond EL, Corner GW, De Rosa A, Breitbart W, Applebaum AJ. Prognostic awareness and communication of prognostic information in malignant glioma: a systematic review. J Neuro-Oncol. 2014;119:227–34.CrossRef
2.
go back to reference Lun M, Lok E, Gautam S, Wu E, Wong ET. The natural history of extracranial metastasis from glioblastoma multiforme. J Neuro-Oncol. 2011;105:261–73.CrossRef Lun M, Lok E, Gautam S, Wu E, Wong ET. The natural history of extracranial metastasis from glioblastoma multiforme. J Neuro-Oncol. 2011;105:261–73.CrossRef
3.
go back to reference Forsyth TM, Bi WL, Abedalthagafi M, Dunn IF, Chiocca EA. Extracranial growth of glioblastoma multiforme. J Clin Neurosci. 2015;22:1521–3.CrossRefPubMed Forsyth TM, Bi WL, Abedalthagafi M, Dunn IF, Chiocca EA. Extracranial growth of glioblastoma multiforme. J Clin Neurosci. 2015;22:1521–3.CrossRefPubMed
4.
go back to reference Amitendu S, Mak SK, Ling JM, Ng WH. A single institution experience of the incidence of extracranial metastasis in glioma. J Clin Neurosci. 2012;19:1511–5.CrossRefPubMed Amitendu S, Mak SK, Ling JM, Ng WH. A single institution experience of the incidence of extracranial metastasis in glioma. J Clin Neurosci. 2012;19:1511–5.CrossRefPubMed
5.
go back to reference Anghileri E, Castiglione M, Nunziata R, Boffano C, Nazzi V, Acerbi F, et al. Extraneural metastases in glioblastoma patients: two cases with YKL-40-positive glioblastomas and a meta-analysis of the literature. Neurosurg Rev. 2016;39:37–45. discussion 45-6CrossRefPubMed Anghileri E, Castiglione M, Nunziata R, Boffano C, Nazzi V, Acerbi F, et al. Extraneural metastases in glioblastoma patients: two cases with YKL-40-positive glioblastomas and a meta-analysis of the literature. Neurosurg Rev. 2016;39:37–45. discussion 45-6CrossRefPubMed
6.
go back to reference Piccirilli M, Brunetto GM, Rocchi G, Giangaspero F, Salvati M. Extra central nervous system metastases from cerebral glioblastoma multiforme in elderly patients. Clinico-pathological remarks on our series of seven cases and critical review of the literature. Tumori. 2008;94:40–51.PubMed Piccirilli M, Brunetto GM, Rocchi G, Giangaspero F, Salvati M. Extra central nervous system metastases from cerebral glioblastoma multiforme in elderly patients. Clinico-pathological remarks on our series of seven cases and critical review of the literature. Tumori. 2008;94:40–51.PubMed
8.
go back to reference Beaumont TL, Kupsky WJ, Barger GR, Sloan AE. Gliosarcoma with multiple extracranial metastases: case report and review of the literature. J Neuro-Oncol. 2007;83:39–46.CrossRef Beaumont TL, Kupsky WJ, Barger GR, Sloan AE. Gliosarcoma with multiple extracranial metastases: case report and review of the literature. J Neuro-Oncol. 2007;83:39–46.CrossRef
9.
go back to reference Mehta S, Huillard E, Kesari S, Maire CL, Golebiowski D, Harrington EP, et al. The central nervous system-restricted transcription factor Olig2 opposes p53 responses to genotoxic damage in neural progenitors and malignant glioma. Cancer Cell. 2011;19:359–71.CrossRefPubMedPubMedCentral Mehta S, Huillard E, Kesari S, Maire CL, Golebiowski D, Harrington EP, et al. The central nervous system-restricted transcription factor Olig2 opposes p53 responses to genotoxic damage in neural progenitors and malignant glioma. Cancer Cell. 2011;19:359–71.CrossRefPubMedPubMedCentral
10.
go back to reference Bock HC, Puchner MJ, Lohmann F, Schütze M, Koll S, Ketter R, et al. First-line treatment of malignant glioma with carmustine implants followed by concomitant radiochemotherapy: a multicenter experience. Neurosurg Rev. 2010;33:441–9.CrossRefPubMedPubMedCentral Bock HC, Puchner MJ, Lohmann F, Schütze M, Koll S, Ketter R, et al. First-line treatment of malignant glioma with carmustine implants followed by concomitant radiochemotherapy: a multicenter experience. Neurosurg Rev. 2010;33:441–9.CrossRefPubMedPubMedCentral
11.
go back to reference Hamard L, Ratel D, Selek L, Berger F, van der Sanden B, Wion D. The brain tissue response to surgical injury and its possible contribution to glioma recurrence. J Neuro-Oncol. 2016;128:1–8.CrossRef Hamard L, Ratel D, Selek L, Berger F, van der Sanden B, Wion D. The brain tissue response to surgical injury and its possible contribution to glioma recurrence. J Neuro-Oncol. 2016;128:1–8.CrossRef
12.
go back to reference Chen KS, Mitchell DA. Monoclonal antibody therapy for malignant glioma. Adv Exp Med Biol. 2012;746:121–41.CrossRefPubMed Chen KS, Mitchell DA. Monoclonal antibody therapy for malignant glioma. Adv Exp Med Biol. 2012;746:121–41.CrossRefPubMed
13.
go back to reference Takano S, Mashiko R, Osuka S, Ishikawa E, Ohneda O, Matsumura A. Detection of failure of bevacizumab treatment for malignant glioma based on urinary matrix metalloproteinase activity. Brain Tumor Pathol. 2010;27:89–94.CrossRefPubMed Takano S, Mashiko R, Osuka S, Ishikawa E, Ohneda O, Matsumura A. Detection of failure of bevacizumab treatment for malignant glioma based on urinary matrix metalloproteinase activity. Brain Tumor Pathol. 2010;27:89–94.CrossRefPubMed
14.
go back to reference Kosaka A, Ohkuri T, Okada H. Combination of an agonistic anti-CD40 monoclonal antibody and the COX-2 inhibitor celecoxib induces anti-glioma effects by promotion of type-1 immunity in myeloid cells and T-cells. Cancer Immunol Immunother. 2014;63:847–57.CrossRefPubMedPubMedCentral Kosaka A, Ohkuri T, Okada H. Combination of an agonistic anti-CD40 monoclonal antibody and the COX-2 inhibitor celecoxib induces anti-glioma effects by promotion of type-1 immunity in myeloid cells and T-cells. Cancer Immunol Immunother. 2014;63:847–57.CrossRefPubMedPubMedCentral
15.
go back to reference Fecci PE, Sweeney AE, Grossi PM, Nair SK, Learn CA, Mitchell DA, et al. Systemic anti-CD25 monoclonal antibody administration safely enhances immunity in murine glioma without eliminating regulatory T cells. Clin Cancer Res. 2006;12:4294–305.CrossRefPubMed Fecci PE, Sweeney AE, Grossi PM, Nair SK, Learn CA, Mitchell DA, et al. Systemic anti-CD25 monoclonal antibody administration safely enhances immunity in murine glioma without eliminating regulatory T cells. Clin Cancer Res. 2006;12:4294–305.CrossRefPubMed
16.
go back to reference Santra A, Kumar R, Sharma P, Bal C, Julka PK, Malhotra A. Detection of recurrence in glioma: a comparative prospective study between Tc-99m GHA SPECT and F-18 FDG PET/CT. Clin Nucl Med. 2011;36:650–5.CrossRefPubMed Santra A, Kumar R, Sharma P, Bal C, Julka PK, Malhotra A. Detection of recurrence in glioma: a comparative prospective study between Tc-99m GHA SPECT and F-18 FDG PET/CT. Clin Nucl Med. 2011;36:650–5.CrossRefPubMed
17.
go back to reference Willis RA. The spread of tumors in the human body [M]. Second edn London: Butterworth 1952:101. Willis RA. The spread of tumors in the human body [M]. Second edn London: Butterworth 1952:101.
18.
go back to reference Pasquier B, Pasquier D, N'Golet A, Panh MH, Couderc P. Extraneural metastases of astrocytomas and glioblastomas: clinicopathological study of two cases and review of literature. Cancer. 1980;45:112–25.CrossRefPubMed Pasquier B, Pasquier D, N'Golet A, Panh MH, Couderc P. Extraneural metastases of astrocytomas and glioblastomas: clinicopathological study of two cases and review of literature. Cancer. 1980;45:112–25.CrossRefPubMed
19.
go back to reference Schönsteiner SS, Bommer M, Haenle MM, Klaus B, Scheuerle A, Schmid M, et al. Rare phenomenon: liver metastases from glioblastoma multiforme. J Clin Oncol. 2011;29:e668–71.CrossRefPubMed Schönsteiner SS, Bommer M, Haenle MM, Klaus B, Scheuerle A, Schmid M, et al. Rare phenomenon: liver metastases from glioblastoma multiforme. J Clin Oncol. 2011;29:e668–71.CrossRefPubMed
20.
go back to reference Li G, Zhang Z, Zhang J, Jin T, Liang H, Gong L, et al. Occipital anaplastic oligodendroglioma with multiple organ metastases after a short clinical course: a case report and literature review. Diagn Pathol. 2014;9:17.CrossRefPubMedPubMedCentral Li G, Zhang Z, Zhang J, Jin T, Liang H, Gong L, et al. Occipital anaplastic oligodendroglioma with multiple organ metastases after a short clinical course: a case report and literature review. Diagn Pathol. 2014;9:17.CrossRefPubMedPubMedCentral
21.
go back to reference Lee CC, Jiang JS, Chen ET, Yokoo H, Pan YH, Tsai MD. Cytologic diagnosis of a metastatic oligodendroglioma in a pleural effusion. A case report. Acta Cytol. 2006;50:542–4.CrossRefPubMed Lee CC, Jiang JS, Chen ET, Yokoo H, Pan YH, Tsai MD. Cytologic diagnosis of a metastatic oligodendroglioma in a pleural effusion. A case report. Acta Cytol. 2006;50:542–4.CrossRefPubMed
22.
go back to reference Mesfin FB, Deshaies EM, Patel R, Weaver S, Spurgas P, Popp AJ. Metastatic gliosarcoma with a unique presentation and progression: case report and review of the literature. Clin Neuropathol. 2010;29:147–50.CrossRefPubMed Mesfin FB, Deshaies EM, Patel R, Weaver S, Spurgas P, Popp AJ. Metastatic gliosarcoma with a unique presentation and progression: case report and review of the literature. Clin Neuropathol. 2010;29:147–50.CrossRefPubMed
23.
go back to reference Kim JE, Kim CY, Kim DG, Jung HW. Implantation metastasis along the stereotactic biopsy tract in anaplastic astrocytoma: a case report. J Neuro-Oncol. 2003;61:215–8.CrossRef Kim JE, Kim CY, Kim DG, Jung HW. Implantation metastasis along the stereotactic biopsy tract in anaplastic astrocytoma: a case report. J Neuro-Oncol. 2003;61:215–8.CrossRef
24.
go back to reference Alwasiak J, Mirecka B, Wozniak L, Liberski PP. Neuroblastic differentiation of metastases of medulloblastoma to extracranial lymph node: an ultrastructural study. Ultrastruct Pathol. 1991;15:647–54.CrossRefPubMed Alwasiak J, Mirecka B, Wozniak L, Liberski PP. Neuroblastic differentiation of metastases of medulloblastoma to extracranial lymph node: an ultrastructural study. Ultrastruct Pathol. 1991;15:647–54.CrossRefPubMed
25.
go back to reference Frank S, Kuhn SA, Brodhun M, Mueller U, Romeike B, Kosmehl H, et al. Metastatic glioblastoma cells use common pathways via blood and lymphatic vessels. Neurol Neurochir Pol. 2009;43:183–90.PubMed Frank S, Kuhn SA, Brodhun M, Mueller U, Romeike B, Kosmehl H, et al. Metastatic glioblastoma cells use common pathways via blood and lymphatic vessels. Neurol Neurochir Pol. 2009;43:183–90.PubMed
26.
go back to reference Ueda S, Mineta T, Suzuyama K, Furuta M, Shiraishi T, Tabuchi K. Biologic characterization of a secondary glioblastoma with extracranial progression and systemic metastasis. Neuro-Oncology. 2003;5:14–8.PubMedPubMedCentral Ueda S, Mineta T, Suzuyama K, Furuta M, Shiraishi T, Tabuchi K. Biologic characterization of a secondary glioblastoma with extracranial progression and systemic metastasis. Neuro-Oncology. 2003;5:14–8.PubMedPubMedCentral
27.
go back to reference Narayan A, Jallo G, Huisman TA. Extracranial, peritoneal seeding of primary malignant brain tumors through ventriculo-peritoneal shunts in children: case report and review of the literature. Neuroradiol J. 2015;28:536–9.CrossRefPubMedPubMedCentral Narayan A, Jallo G, Huisman TA. Extracranial, peritoneal seeding of primary malignant brain tumors through ventriculo-peritoneal shunts in children: case report and review of the literature. Neuroradiol J. 2015;28:536–9.CrossRefPubMedPubMedCentral
28.
go back to reference Barajas RF Jr, Phelps A, Foster HC, Courtier J, Buelow BD, Gupta N, et al. Metastatic diffuse intrinsic pontine glioma to the peritoneal cavity via ventriculoperitoneal shunt: case report and literature review. J Neurol Surg Rep 2015;76:e91-e96. Barajas RF Jr, Phelps A, Foster HC, Courtier J, Buelow BD, Gupta N, et al. Metastatic diffuse intrinsic pontine glioma to the peritoneal cavity via ventriculoperitoneal shunt: case report and literature review. J Neurol Surg Rep 2015;76:e91-e96.
29.
go back to reference Steinmetz MP, Barnett GH, Kim BS, Chidel MA, Suh JH. Metastatic seeding of the stereotactic biopsy tract in glioblastoma multiforme: case report and review of the literature. J Neuro-Oncol. 2001;55:167–71.CrossRef Steinmetz MP, Barnett GH, Kim BS, Chidel MA, Suh JH. Metastatic seeding of the stereotactic biopsy tract in glioblastoma multiforme: case report and review of the literature. J Neuro-Oncol. 2001;55:167–71.CrossRef
30.
go back to reference Miliaras G, Tsitsopoulos PP, Markoula S, Kyritsis A, Polyzoidis KS, Malamou-Mitsi V. Multifocal glioblastoma with remote cutaneous metastasis: a case report and review of the literature. Cent Eur Neurosurg. 2009;70:39–42.CrossRefPubMed Miliaras G, Tsitsopoulos PP, Markoula S, Kyritsis A, Polyzoidis KS, Malamou-Mitsi V. Multifocal glioblastoma with remote cutaneous metastasis: a case report and review of the literature. Cent Eur Neurosurg. 2009;70:39–42.CrossRefPubMed
32.
go back to reference Newton HB, Rosenblum MK, Walker RW. Extraneural metastases of infratentorial glioblastoma multiforme to the peritoneal cavity. Cancer. 1992;69:2149–53.CrossRefPubMed Newton HB, Rosenblum MK, Walker RW. Extraneural metastases of infratentorial glioblastoma multiforme to the peritoneal cavity. Cancer. 1992;69:2149–53.CrossRefPubMed
33.
go back to reference Zustovich F, Della Puppa A, Scienza R, Anselmi P, Furlan C, Cartei G. Metastatic oligodendrogliomas: a review of the literature and case report. Acta Neurochir. 2008;150:699–702.CrossRefPubMed Zustovich F, Della Puppa A, Scienza R, Anselmi P, Furlan C, Cartei G. Metastatic oligodendrogliomas: a review of the literature and case report. Acta Neurochir. 2008;150:699–702.CrossRefPubMed
34.
go back to reference Vertosick FT, Selker RG. Brainstem and spinal metastases of supratentorial glioblastoma multiforme: a clinical series. Neurosurgery. 1990;27:516–22.CrossRefPubMed Vertosick FT, Selker RG. Brainstem and spinal metastases of supratentorial glioblastoma multiforme: a clinical series. Neurosurgery. 1990;27:516–22.CrossRefPubMed
Metadata
Title
Extracranial metastases of high-grade glioma: the clinical characteristics and mechanism
Authors
Qian Sun
Rui Xu
Hongbo Xu
Gengming Wang
Xueming Shen
Hao Jiang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2017
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-017-1249-6

Other articles of this Issue 1/2017

World Journal of Surgical Oncology 1/2017 Go to the issue