A Case of Malignant Ependymoma. |
Ja Wook Koo, Sun Ho Lee, In Joon Seol, Hahng Lee |
Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea |
영아기에 발생한 악성상의세포종 1례 |
구자욱, 이선호, 설인준, 이항 |
한양대학교 의과대학 소아과학교실 |
Received: 2 May 1988 • Accepted: 15 July 1988 |
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Abstract |
Intracranial tumors presenting in the first year of life are uncommon. Brain tumors in infancy are
predominantly supratentorial, whereas in older children the majority are infratentorial. Malignant
ependymoma is a rare type of primitive ependymal tumor with clinically high malignancy.
We experienced a malignant ependymoma in a 5 month old girl who had progressive enlargement
of head circumference with vomiting. Brain computed tomography revealed a 10 x 10 cm sized mass
in left parietotemporal area of the cerebral hemisphere with multiple punctate calcifications along
the outer margin of the mass. Diagnosis was confirmed by histologic examination of the tumor tissue
On microscopic examination the tumor was well circumscribed and fairly cellular. The tumor cells
were polygonal or elongated with regular round nuclei and delicate chromatin pattern. In areas
perivascular pseudorosette as well as numerous mitoses and multifocal necrosis were presented.
We present a case of malignant ependymoma with the brief review of related literatures. |
Key Words:
Malignant ependymoma |
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