Atypical teratoid/rhabdoid tumor arising in a malignant glioma

Pediatr Blood Cancer. 2017 Jan;64(1):96-99. doi: 10.1002/pbc.26173. Epub 2016 Jul 29.

Abstract

Atypical teratoid/rhabdoid tumor (AT/RT), a highly malignant brain tumor in young children, usually arises de novo and has only rarely been described as a secondary malignancy. Here, we present a case of a child with glioblastoma, who was treated postoperatively by a combination of temozolomide, irradiation, and bevacizumab. AT/RT was diagnosed as a secondary tumor, 2.5 years following primary diagnosis. The child died 13 months after the diagnosis of AT/RT. This case demonstrates that malignant gliomas may give rise to AT/RT. It also emphasizes the diagnostic value of a repeated tumor biopsy in the recurrence setting.

Keywords: atypical teratoid/rhabdoid tumor; glioblastoma; irradiation; pleomorphic xanthoastrocytoma; temozolomide; therapy-induced secondary tumor.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Combined Modality Therapy
  • Female
  • Glioma / pathology
  • Glioma / therapy*
  • Humans
  • Neoplasm Recurrence, Local / diagnosis*
  • Neoplasm Recurrence, Local / etiology
  • Neoplasm Staging
  • Neoplasms, Second Primary / diagnosis*
  • Neoplasms, Second Primary / etiology
  • Prognosis
  • Rhabdoid Tumor / diagnosis*
  • Rhabdoid Tumor / etiology
  • Teratoma / diagnosis*
  • Teratoma / etiology