[Radiation-induced intracerebral sarcoma].
We report a case of radiation-induced sarcoma in a 50 year-old male patient who was treated with total resection and radiation for right temporal lobe PNET. He received a dose of 60-Gy. A sequential magnetic resonance image 32 months after the completion of radiation therapy and 34 months after surgery showed a mass in the right temporal cerebral convexity. The postoperative diagnosis was sarcoma. Two years later the patient was operated because of a new lesion with similar characteristics. The follow up from the PNET diagnosis is 5 years and 10 months and the survival from sarcoma diagnosis is now 3 years and there is no evidence of recurrence. The development of sarcoma subsequent to cranial irradiation is an infrequent event but it should be considered in the differential diagnosis of a lesion that progresses several years after radiation therapy or when a new lesion appear.
Cañizal-García
J M
JM
Servicio de Neurocirugía, Hospital Universitario del Aire, Madrid.
Bárcena-Orbe
A
A
Mestre-Moreiro
C
C
Rivero-Martín
B
B
Rodriguez-Arias
C A
CA
Coca-Menchero
S
S
D001932:Brain Neoplasms / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009381:Neoplasms, Radiation-Induced / Q000209:etiology*; D012509:Sarcoma / Q000209:etiology*; D013702:Temporal Lobe