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Case Report
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Tumor after tumor in two years: A rare presentation of brain glioma, meningioma and supraclavicular meningiosarcoma
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Riana Kipiani Abdul Halim1,
Mohd. Solahuddin Mohd Kenali2,
Primuharsa Putra Sabir Husin Athar3,
BS Gendeh4,
Wan Muhaizan Wan Mustaffa5,
Halili Rahmat6
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1MD, Resident, Otorhinolaryngology- Head and Neck Surgery department, KPJ Healthcare University College, Negeri Sembilan, Malaysia.
2MD, B.MED.SC, MS (ORL-HNS), Fellowship Head and Neck, Consultant Ear, Nose, Throat/ Head & Neck Surgeon, KPJ Tawakkal Specialist Hospital, Kuala Lumpur, Malaysia and KPJ Healthcare University College, Negeri Sembilan, Malaysia.
3MD, MS (ORL-HNS), Ear, Nose, Throat/ Head & Neck Consultant Clinic, KPJ Seremban Specialist Hospital, Negeri Sembilan, Malaysia and KPJ Healthcare University College, Negeri Sembilan, Malaysia.
4MBBS, MS (ORL-HNS), Consultant Surgeon and Lecturer Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Wilayah Persekutuan K.L, Malaysia.
5MD, MPath, ISN Fellow, Consultant Histopathologist, Lablink Medical Laboratory, Kuala Lumpur, Malaysia.
6MBBS, FRACS, Neurosurgery Clinic, KPJ Tawakkal Specialist Hospital, Kuala Lumpur, Malaysia.
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Article ID: 100025CRINTRH2016
doi:10.5348/crint-2016-25-CR-6
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Address correspondence to:
Primuharsa Putra Sabir Husin Athar
KPJ Seremban Specialist Hospital
Jalan Toman 1, Kemayan Square
Seremban, Negeri Sembilan
Malaysia, 70200
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How to cite this article:
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Halim RKA, Mohd Kenali MS, Athar PPSH, Gendeh BS, Wan Mustaffa WM, Rahmat H. Tumor after tumor in two years: A rare presentation of brain glioma, meningioma and supraclavicular meningiosarcoma. Case Rep Int 2016;5:22–26.
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Introduction:
Low-grade gliomas (LGG) and meningioma are common brain tumors but it is rare for both tumors to be diagnosed in a same patient. Furthermore, it is rare for the same patient to develop an extracranial primary or metastasis meningioma. Probably this is the first case report of a second primary with extracranial meningiosarcoma in literature.
Case Report:
We present a rare case of brain atypical meningioma which occurred shortly following craniotomy and radiotherapy after being diagnosed as brain glioma (diffused astrocytoma) in a 22-year-old Malay female. Tumors occurred at different sites of the brain namely the atypical meningioma at the temporal and the initial glioma at the frontal region. Subsequently, patient developed a right supraclavicular meningiosarcoma. We believe that the patient could have developed radiation-induced meningioma but the transformation period is very short. The patient's mother had history of brain tumor that added into the risk factors in this patient. However, we are unable to confirm whether the supraclavicular mass was a primary supraclavicular meningiosarcoma or metastatic meningiosarcoma progression from atypical meningioma.
Conclusion:
There are multiple variant revealed associations of glioma and meningioma. However, these variant could be coincidental. There is a possibility that one tumor acts locally as an irritating factor that induced another unrelated neoplasm. Relation of two or more types of cancers might lead to new therapies, provided target surveillance for cancer patients and risk factors or causal agent are identified.
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Keywords:
Astrocytoma, Meningioma, Meningiosarcoma, Second primary, Seizure
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Author Contributions
Riana Kipiani Abdul Halim – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohd. Solahuddin Mohd Kenali – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Primuharsa Putra Sabir Husin Athar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
BS Gendeh – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Wan Muhaizan Wan Mustaffa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Halili Rahmat – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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Guarantor of submission
The corresponding author is the guarantor of submission.
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Source of support
None
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Conflict of interest
Authors declare no conflict of interest.
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Copyright
©
2016 Riana Kipiani Abdul Halim et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
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