title: A Stable Secondary Gliosarcoma with Extensive Systemic Metastases: A Case Report.
abstract: A 63-year-old man complained of intermittent motor weakness of his arm. The magnetic resonance image (MRI) of his brain displayed a high signal lesion in right cingulate gyrus on T2 weighted image. One year later, he showed a stuporous mental status with repeated seizures, and the follow-up brain MRI showed heterogeneously enhanced mass associated with bleeding. He was treated with surgery and radiotherapy for secondary glioblastomas in right cingulate gyrus. One year more later, a mass recurred on the left frontal base, and gliosarcoma was diagnosed. After tumor resection, ventriculoperitoneal shunt, chemotherapy, and re-radiation therapy, all brain lesions were stable. Fourteen months after the diagnosis of gliosarcoma, he complained of dyspnea and back pain. Torso positron emission tomography/computed tomography revealed multiple metastatic lesions in both lungs, pericardium, pleura, liver, lymph nodes, and bones, and metastatic gliosarcoma was diagnosed. One month later, the patient died because of the systemic metastases. We present an unusual case of secondary gliosarcoma with stable brain lesions and extensive systemic metastases.
authors.affiliation: Department of Neurosurgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Tae-Min
authors.initials: TM
authors.lastname: Choi
authors.affiliation: Department of Neurosurgery, Chonnam National University Hwasun Hospital & Medical School, Gwangju, Korea.
authors.forename: Young-Jun
authors.initials: YJ
authors.lastname: Cheon
authors.affiliation: Department of Neurosurgery, Chonnam National University Hwasun Hospital & Medical School, Gwangju, Korea.
authors.forename: Tae-Young
authors.initials: TY
authors.lastname: Jung
authors.affiliation: Department of Pathology, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, Korea.
authors.forename: Kyung-Hwa
authors.initials: KH
authors.lastname: Lee
keywords: Brain neoplasm; Gliosarcoma; Neoplasm metastasis; Ventriculoperitoneal shunt