Extracranial relapse of an anaplastic oligodendroglioma in an adolescent: case report and review of the literature.
Oligodendroglioma is an uncommon childhood tumor and is more chemosensitive than other malignant glial neoplasms. Treatment involves gross total resection, and if anaplastic, radiation and chemotherapy. Distinct genetic alterations are associated with improved prognosis. We report a child with a low-grade oligodendroglioma that recurred as a high-grade oligodendroglioma and ultimately as extraneural systemic relapse. It was initially responsive to temozolomide, cyclophosphamide, etoposide, and carboplatin, perhaps predicted by combined loss of heterozygosity at 1p and 19q. This chemotherapy may be promising in treating malignant oligodendroglioma. However, he succumbed to progressive systemic disease. Positron emission spectroscopy scan was useful in sequentially assessing his disease.
Bruggers
Carol
C
Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Utah School of Medicine and Primary Children's Medical Center, Salt Lake City, Utah 84113, USA. carol.bruggers@ihc.com
White
Keith
K
Zhou
Holly
H
Chen
Zhong
Z
D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000235:genetics / Q000628:therapy; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000235:genetics / Q000628:therapy; D009837:Oligodendroglioma / Q000175:diagnosis* / Q000235:genetics / Q000628:therapy; D016066:Pleural Effusion, Malignant / Q000175:diagnosis / Q000628:therapy; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000628:therapy; D049268:Positron-Emission Tomography / Q000379:methods; D012008:Recurrence