Dorsally exophytic glioblastoma of the pons

Brainstem gliomas are rare tumours in adults, accounting for only 1%–2% of all intracranial gliomas. They are recognised as a heterogeneous group, in which most are malignant tumours. Brainstem gliomas are classified into four major groups according to the growth pattern on imaging, namely diffuse,...

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Bibliographic Details
Published in:BMJ case reports 2019-04, Vol.12 (4), p.e228105
Main Authors: Negreiros, Marco Antonio, Batista, Fred Franklin, Cottar, Shaeanny Bianchini, Acioly, Marcus André
Format: Article
Language:English
Subjects:
Adults
Brain cancer
Brain Stem - diagnostic imaging
Brain Stem - pathology
Brain Stem Neoplasms - diagnostic imaging
Brain Stem Neoplasms - pathology
Brain Stem Neoplasms - therapy
Case reports
Chemoradiotherapy
Cranial Nerve Diseases - diagnostic imaging
Cranial Nerve Diseases - etiology
Cranial Nerve Diseases - physiopathology
Fatal Outcome
Glioblastoma - diagnostic imaging
Glioblastoma - pathology
Glioblastoma - therapy
Glioma
Humans
Hydrocephalus - physiopathology
Intracranial Hemorrhages - physiopathology
Male
Medical prognosis
Middle Aged
Neuroimaging
Neurological disorders
Neurosurgery
Neurosurgical Procedures - methods
Patients
Pons - diagnostic imaging
Pons - pathology
Radiation therapy
Rare Disease
Surgery
Time Factors
Tumors
Volumetric analysis
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Summary:Brainstem gliomas are rare tumours in adults, accounting for only 1%–2% of all intracranial gliomas. They are recognised as a heterogeneous group, in which most are malignant tumours. Brainstem gliomas are classified into four major groups according to the growth pattern on imaging, namely diffuse, focal, exophytic and cervicomedullary. Such a classification system is also useful for surgical decision making. The exophytic variant is extremely rare having anecdoctal reports in the literature. We report the case of an adult patient affected by an exophytic glioblastoma of the pons, which was submitted to subtotal resection followed by radiation therapy and chemotherapy with a longer overall survival. To the best of our knowledge, this is the seventh adult patient reported of an exophytic brainstem glioblastoma.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-228105