Journal of Korean Neurosurgical Society

  • 제53권3호
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  • Pages.190-193
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Malignant Peripheral Nerve Sheath Tumor of Non-Neurofibromatosis Type I Metastasized to the Cerebrospinal Axis

  • Park, Man-Kyu (Department of Neurosurgery, Kyungpook National University Hospital) ;
  • Sung, Joo-Kyung (Department of Neurosurgery, Kyungpook National University Hospital) ;
  • Nam, Kyung-Hun (Department of Neurosurgery, Kyungpook National University Hospital) ;
  • Kim, Kyoung-Tae (Department of Neurosurgery, Kyungpook National University Hospital)
  • 투고 : 2012.04.17
  • 심사 : 2013.02.25
  • 발행 : 2013.03.28
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초록

A malignant peripheral nerve sheath tumor (MPNST) is a type of sarcoma that arises from peripheral nerves or cells of the associated nerve sheath. This tumor most commonly metastasizes to the lung and metastases to the spinal cord and brain are very rare. We describe a case of young patient with spinal cord and brain metastases resulting from MPNST. An 18-year-old man presented with a 6-month history of low back pain and radiating pain to his anterior thigh. Magnetic resonance imaging showed a paraspinal mass that extended from the central space of L2 to right psoas muscle through the right L2-3 foraminal space. The patient underwent surgery and the result of the histopathologic study was diagnostic for MPNST. Six months after surgery, follow-up images revealed multiple spinal cord and brain metastases. The patient was managed with chemotherapy, but died several months later. Despite complete surgical excision, the MPNST progressed rapidly and aggressively. Thus, patients with MPNST should be followed carefully to identify local recurrence or metastasis as early as possible.

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참고문헌

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피인용 문헌

  1. Tumor targeted delivery of doxorubicin in malignant peripheral nerve sheath tumors vol.13, pp.1, 2013, https://doi.org/10.1371/journal.pone.0181529
  2. Malignant peripheral nerve sheath tumor of thigh with sphenoid and brain metastases: Extremely rare occurrence with dismal prognosis despite significant response to palliative chemoradiotherapy vol.18, pp.3, 2019, https://doi.org/10.4103/wjnm.wjnm_54_18
  3. When “Peripheral” Becomes “Central” : Primary and Secondary Malignant Intracerebral Nerve Sheath Tumor A Case Report and a Systematic Review vol.88, pp.6, 2021, https://doi.org/10.1093/neuros/nyab043