CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 231-234
DOI: 10.1055/s-0037-1606822
Case Report
Neurological Surgeons' Society of India

Purely Cystic Desmoplastic Ganglioglioma: An Incidental Finding in a Giant Cyst

Sumit Bansal
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Ashok Kumar Mahapatra
1   Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Susama Patra
2   Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
,
Radhamohan Gharei
2   Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
› Institutsangaben
Funding None.
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Publikationsverlauf

Received: 26. April 2016

accepted after revision: 08. Juni 2017

Publikationsdatum:
12. Oktober 2017 (online)

Abstract

Desmoplastic infantile ganglioglioma (DIG) is a rare supratentorial brain tumor occurring mostly before the age of 2 years. It has a good prognosis and total excision of the tumor is curative, necessitating no further treatment. An accurate pathologic diagnosis is crucial. Until now, approximately 70 cases of this tumor type have been reported. Solid-cystic variety is mostly described with occasional purely solid type lesion also. We are presenting a 12-month-old male infant with developmental delay and a giant cyst on the right side of supratentorial compartment, which showed histological features of desmoplastic ganglioglioma. Hence, the current case is reporting the rare histologic finding of cystic change in desmoplastic ganglioglioma. Cystic form of desmoplastic ganglioglioma should be considered in differential diagnosis of supratentorial cystic lesion in an infant. Prognosis is excellent after complete excision.

 
  • References

  • 1 Taratuto AL, Monges J, Lylyk P, Leiguarda R. Superficial cerebral astrocytoma attached to dura. Report of six cases in infants. Cancer 1984; 54 (11) 2505-2512
  • 2 VandenBerg SR, May EE, Rubinstein LJ. et al. Desmoplastic supratentorial neuroepithelial tumors of infancy with divergent differentiation potential (“desmoplastic infantile gangliogliomas”). Report on 11 cases of a distinctive embryonal tumor with favorable prognosis. J Neurosurg 1987; 66 (01) 58-71
  • 3 Bhardwaj M, Sharma A, Pal HK. Desmoplastic infantile ganglioglioma with calcification. Neuropathology 2006; 26 (04) 318-322
  • 4 Romero-Rojas AE, Diaz-Perez JA, Lozano-Castillo A. Desmoplastic infantile ganglioglioma with late presentation. A clinical, radiological and histopathological analysis. Neuroradiol J 2013; 26 (06) 649-654
  • 5 Rout P, Santosh V, Mahadevan A, Kolluri VR, Yasha TC, Shankar SK. Desmoplastic infantile ganglioglioma—clinicopathological and immunohistochemical study of four cases. Childs Nerv Syst 2002; 18 (09) (10) 463-467
  • 6 Per H, Kontaş O, Kumandaş S, Kurtsoy A. A report of a desmoplastic non-infantile ganglioglioma in a 6-year-old boy with review of the literature. Neurosurg Rev 2009; 32 (03) 369-374 discussion 374
  • 7 Khaddage A, Chambonniere ML, Morrison AL. et al. Desmoplastic infantile ganglioglioma: a rare tumor with an unusual presentation. Ann Diagn Pathol 2004; 8 (05) 280-283
  • 8 Craver RD, Nadell J, Nelson JS. Desmoplastic infantile ganglioglioma. Pediatr Dev Pathol 1999; 2 (06) 582-587
  • 9 Tseng JH, Tseng MY, Kuo MF, Tseng CL, Chang YL. Chronological changes on magnetic resonance images in a case of desmoplastic infantile ganglioglioma. Pediatr Neurosurg 2002; 36 (01) 29-32
  • 10 Duffner PK, Burger PC, Cohen ME. et al. Desmoplastic infantile gangliogliomas: an approach to therapy. Neurosurgery 1994; 34 (04) 583-589 discussion 589
  • 11 Sperner J, Gottschalk J, Neumann K, Schörner W, Lanksch WR, Scheffner D. Clinical, radiological and histological findings in desmoplastic infantile ganglioglioma. Childs Nerv Syst 1994; 10 (07) 458-462 discussion 462–463
  • 12 Rypens F, Esteban MJ, Lellouch-Tubiana A. et al. Desmoplastic supratentorial neuroepithelial tumours of childhood: imaging in 5 patients. Neuroradiology 1996; 38 (Suppl. 01) S165-S168
  • 13 Pommepuy I, Delage-Corre M, Moreau JJ, Labrousse F. A report of a desmoplastic ganglioglioma in a 12-year-old girl with review of the literature. J Neurooncol 2006; 76 (03) 271-275
  • 14 VandenBerg SR. Desmoplastic infantile ganglioglioma and desmoplastic cerebral astrocytoma of infancy. Brain Pathol 1993; 3 (03) 275-281