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A Huge Calcified Supratentorial Ependymoma: A Case Report

Tanycytic ependymoma has been marked as Grade II by the World Health Organization (WHO), requiring considerable treatment. However, according to the fifth edition of the WHO Classification of Tumors of the Central Nervous System published in 2021, tanycytic ependymoma is no longer identified as a su...

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Autores principales: Yangi, Kivanc, Yavuz, Ahmed Yasin, Percinoglu, Gokhan, Aki, Buse, Celik, Suat Erol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10096750/
https://www.ncbi.nlm.nih.gov/pubmed/37064720
http://dx.doi.org/10.7759/cureus.37493
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author Yangi, Kivanc
Yavuz, Ahmed Yasin
Percinoglu, Gokhan
Aki, Buse
Celik, Suat Erol
author_facet Yangi, Kivanc
Yavuz, Ahmed Yasin
Percinoglu, Gokhan
Aki, Buse
Celik, Suat Erol
author_sort Yangi, Kivanc
collection PubMed
description Tanycytic ependymoma has been marked as Grade II by the World Health Organization (WHO), requiring considerable treatment. However, according to the fifth edition of the WHO Classification of Tumors of the Central Nervous System published in 2021, tanycytic ependymoma is no longer identified as a subtype of ependymoma. Herein, we offer an unusual case of a supratentorial ependymoma, previously tanycytic ependymoma. Which radiologically mimic pineal region tumors; however, they pathologically mimic meningiomas, schwannomas, medulloblastomas, or astroblastomas. A three-year-old girl presented to our neurosurgery department with sudden onset gait disturbance and balance impairment; we detected no additional neurologic deficit. Magnetic Resonance Imaging (MRI) revealed a giant, multilobulated, well-circumscribed right pineal mass, approximately 4.5 x 4.5 x 4.5 cm in size, crossing the midline and extending posteriorly, invading the pineal region. The initial diagnosis was a pineal region tumor. Following gross-total resection of the tumor, pathology reports showed tanycytic ependymoma. Postoperatively the patient's gait disturbance was improved, and there was no balance impairment. Follow-ups at three and six months, no sign of recurrence has been encountered. Our case demonstrates that supratentorial ependymomas may also occur in the pineal region and requires an accurate neuropathologic diagnosis. Early accurate diagnosis is essential; since those tumors may be related to a wide range of prognoses and necessitate different treatment modalities.
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spelling pubmed-100967502023-04-13 A Huge Calcified Supratentorial Ependymoma: A Case Report Yangi, Kivanc Yavuz, Ahmed Yasin Percinoglu, Gokhan Aki, Buse Celik, Suat Erol Cureus Radiology Tanycytic ependymoma has been marked as Grade II by the World Health Organization (WHO), requiring considerable treatment. However, according to the fifth edition of the WHO Classification of Tumors of the Central Nervous System published in 2021, tanycytic ependymoma is no longer identified as a subtype of ependymoma. Herein, we offer an unusual case of a supratentorial ependymoma, previously tanycytic ependymoma. Which radiologically mimic pineal region tumors; however, they pathologically mimic meningiomas, schwannomas, medulloblastomas, or astroblastomas. A three-year-old girl presented to our neurosurgery department with sudden onset gait disturbance and balance impairment; we detected no additional neurologic deficit. Magnetic Resonance Imaging (MRI) revealed a giant, multilobulated, well-circumscribed right pineal mass, approximately 4.5 x 4.5 x 4.5 cm in size, crossing the midline and extending posteriorly, invading the pineal region. The initial diagnosis was a pineal region tumor. Following gross-total resection of the tumor, pathology reports showed tanycytic ependymoma. Postoperatively the patient's gait disturbance was improved, and there was no balance impairment. Follow-ups at three and six months, no sign of recurrence has been encountered. Our case demonstrates that supratentorial ependymomas may also occur in the pineal region and requires an accurate neuropathologic diagnosis. Early accurate diagnosis is essential; since those tumors may be related to a wide range of prognoses and necessitate different treatment modalities. Cureus 2023-04-12 /pmc/articles/PMC10096750/ /pubmed/37064720 http://dx.doi.org/10.7759/cureus.37493 Text en Copyright © 2023, Yangi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Yangi, Kivanc
Yavuz, Ahmed Yasin
Percinoglu, Gokhan
Aki, Buse
Celik, Suat Erol
A Huge Calcified Supratentorial Ependymoma: A Case Report
title A Huge Calcified Supratentorial Ependymoma: A Case Report
title_full A Huge Calcified Supratentorial Ependymoma: A Case Report
title_fullStr A Huge Calcified Supratentorial Ependymoma: A Case Report
title_full_unstemmed A Huge Calcified Supratentorial Ependymoma: A Case Report
title_short A Huge Calcified Supratentorial Ependymoma: A Case Report
title_sort huge calcified supratentorial ependymoma: a case report
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10096750/
https://www.ncbi.nlm.nih.gov/pubmed/37064720
http://dx.doi.org/10.7759/cureus.37493
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