Document Detail


Recurrent pituitary ependymoma: a complex clinical problem.
MedLine Citation:
PMID:  18704689     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ependymomas rarely arise from the region of the pituitary fossa, with only four cases previously reported in the literature. We present a complex case of a recurrent ependymoma of the parasellar region which has been difficult to clinically manage due to its tendency to recurrence. Our patient has had four operations over the last 28 years, with external beam radiotherapy, but still has residual tumor and is currently panhypopituitary and with significant visual loss. We believe there is considerable uncertainty as to the optimal management of any future progression, which seems likely, and are currently considering the use of radiosurgery with careful sparing of the optic chiasm, or possibly the chemotherapeutic agent temozolomide. Our case emphasises the recurrent nature of this rare but difficult tumor.
Authors:
Rosie Belcher; Harvinder S Chahal; Jane Evanson; Farhad Afshar; Silvia Marino; Ashley B Grossman
Related Documents :
15229779 - Synchronous gastric adenocarcinoma and carcinoid.
20847639 - Ripple/carcinoid pattern sebaceoma with apocrine differentiation.
3792749 - Cavernous lymphangioma of the duodenum: case report and review of the literature.
9164509 - Giant pedunculated liposarcomas of the esophagus: literature review and case report.
21072549 - Chondroma in temporomandibular region--case report and therapeutic considerations.
12352109 - Low uptake of tc-99m tetrofosmin in lung cancer: a case report.
9181369 - Histopathology and microbiology of isolated rectal bleeding in neonates: the so-called ...
18850069 - Lethal limb ischaemia in leukaemia. case report and review of the literature.
10889819 - What is a natural cause of death? a survey of how coroners in england and wales approac...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pituitary     Volume:  13     ISSN:  1573-7403     ISO Abbreviation:  Pituitary     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-19     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9814578     Medline TA:  Pituitary     Country:  United States    
Other Details:
Languages:  eng     Pagination:  176-82     Citation Subset:  IM    
Affiliation:
Department of Endocrinology, Barts and the London School of Medicine, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Ependymoma / diagnosis*,  radiotherapy
Female
Humans
Magnetic Resonance Imaging
Neoplasm Recurrence, Local / diagnosis*,  radiotherapy
Pituitary Neoplasms / diagnosis*,  radiotherapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Defining human diabetic nephropathy on the molecular level: integration of transcriptomic profiles w...
Next Document:  System-wide implementation of ACT in Ontario: an ongoing improvement effort.