Cargando…

Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication

Implantation metastasis following stereotactic biopsy in the brain had been reported as a rare complication. A 36-years-old female patient was treated with ventriculoperitoneal (VP) shunt and stereotactic biopsy of a pineal parenchymal tumor of intermediate differentiation (PPTID) with hydrocephalus...

Descripción completa

Detalles Bibliográficos
Autores principales: Tandean, Steven, Siahaan, Andre Marolop Pangihutan, Loe, Michael Lumintang, Indharty, Rr Suzy, Julijamnasi, Sitorus, Mega Sari, Japardi, Iskandar, July, Julius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713027/
https://www.ncbi.nlm.nih.gov/pubmed/36468056
http://dx.doi.org/10.3389/fneur.2022.1019955
_version_ 1784841918869405696
author Tandean, Steven
Siahaan, Andre Marolop Pangihutan
Loe, Michael Lumintang
Indharty, Rr Suzy
Julijamnasi,
Sitorus, Mega Sari
Japardi, Iskandar
July, Julius
author_facet Tandean, Steven
Siahaan, Andre Marolop Pangihutan
Loe, Michael Lumintang
Indharty, Rr Suzy
Julijamnasi,
Sitorus, Mega Sari
Japardi, Iskandar
July, Julius
author_sort Tandean, Steven
collection PubMed
description Implantation metastasis following stereotactic biopsy in the brain had been reported as a rare complication. A 36-years-old female patient was treated with ventriculoperitoneal (VP) shunt and stereotactic biopsy of a pineal parenchymal tumor of intermediate differentiation (PPTID) with hydrocephalus. The patient underwent five cycles of radiotherapy on the pineal area. Seven years after the procedure, the patient developed left hemiparesis with the brain MRI findings showing an enhanced mass along the biopsy tract. Craniotomy tumor removal was carried out and the pathological assessment was consistent with those of the PPTID. Radiation on metastase area and craniospinal was subsequently performed. The patient was disease-free during the 2-year follow-up assessments. The potential occurrence of implantation metastasis following the stereotactic biopsy of PPTID should be considered in the treatment plan and follow-up assessments and evaluations. Expanding the radiation area to cover the entire biopsy tract may be favorable to lower the risk of implantation metastasis.
format Online
Article
Text
id pubmed-9713027
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-97130272022-12-02 Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication Tandean, Steven Siahaan, Andre Marolop Pangihutan Loe, Michael Lumintang Indharty, Rr Suzy Julijamnasi, Sitorus, Mega Sari Japardi, Iskandar July, Julius Front Neurol Neurology Implantation metastasis following stereotactic biopsy in the brain had been reported as a rare complication. A 36-years-old female patient was treated with ventriculoperitoneal (VP) shunt and stereotactic biopsy of a pineal parenchymal tumor of intermediate differentiation (PPTID) with hydrocephalus. The patient underwent five cycles of radiotherapy on the pineal area. Seven years after the procedure, the patient developed left hemiparesis with the brain MRI findings showing an enhanced mass along the biopsy tract. Craniotomy tumor removal was carried out and the pathological assessment was consistent with those of the PPTID. Radiation on metastase area and craniospinal was subsequently performed. The patient was disease-free during the 2-year follow-up assessments. The potential occurrence of implantation metastasis following the stereotactic biopsy of PPTID should be considered in the treatment plan and follow-up assessments and evaluations. Expanding the radiation area to cover the entire biopsy tract may be favorable to lower the risk of implantation metastasis. Frontiers Media S.A. 2022-11-17 /pmc/articles/PMC9713027/ /pubmed/36468056 http://dx.doi.org/10.3389/fneur.2022.1019955 Text en Copyright © 2022 Tandean, Siahaan, Loe, Indharty, Julijamnasi, Sitorus, Japardi and July. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Tandean, Steven
Siahaan, Andre Marolop Pangihutan
Loe, Michael Lumintang
Indharty, Rr Suzy
Julijamnasi,
Sitorus, Mega Sari
Japardi, Iskandar
July, Julius
Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title_full Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title_fullStr Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title_full_unstemmed Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title_short Case report: Implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: An exceptionally rare complication
title_sort case report: implantation metastasis following stereotactic biopsy of pineal parenchymal tumor of intermediate differentiation in an adult patient: an exceptionally rare complication
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713027/
https://www.ncbi.nlm.nih.gov/pubmed/36468056
http://dx.doi.org/10.3389/fneur.2022.1019955
work_keys_str_mv AT tandeansteven casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT siahaanandremaroloppangihutan casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT loemichaellumintang casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT indhartyrrsuzy casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT julijamnasi casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT sitorusmegasari casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT japardiiskandar casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication
AT julyjulius casereportimplantationmetastasisfollowingstereotacticbiopsyofpinealparenchymaltumorofintermediatedifferentiationinanadultpatientanexceptionallyrarecomplication