Breast metastases from oligodendroglioma: An unusual extraneural spread in two young women and a review of the literature
Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature. We report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature....
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| Veröffentlicht in: | Critical reviews in oncology/hematology Jg. 88; H. 3; S. 564 - 572 |
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| Sprache: | Englisch |
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01.12.2013
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| Abstract | Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.
We report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature.
Immunohistochemical analysis performed on material from both primary and metastatic sites did not allow to draw any conclusion on possible etiopathogenetic hypothesis. A review of literature yielded 35 cases of extracranial metastatic oligodendroglioma from 1989 to 2012.
Though rare, extracranial dissemination from oligodendroglioma may occur not only in long surviving heavily pre-treated patients. The review of literature and these two cases suggest that spread is primarily to bone and then from bone to other organs through hematogenous route mostly due to leptomeningeal or dura mater invasion. Chemotherapy regimens similar to those commonly used for non metastatic oligodendroglioma are recommended for patients with good performance status. |
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| AbstractList | Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.
We report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature.
Immunohistochemical analysis performed on material from both primary and metastatic sites did not allow to draw any conclusion on possible etiopathogenetic hypothesis. A review of literature yielded 35 cases of extracranial metastatic oligodendroglioma from 1989 to 2012.
Though rare, extracranial dissemination from oligodendroglioma may occur not only in long surviving heavily pre-treated patients. The review of literature and these two cases suggest that spread is primarily to bone and then from bone to other organs through hematogenous route mostly due to leptomeningeal or dura mater invasion. Chemotherapy regimens similar to those commonly used for non metastatic oligodendroglioma are recommended for patients with good performance status. Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.BACKGROUNDExtraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.We report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature.CASE REPORTSWe report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature.Immunohistochemical analysis performed on material from both primary and metastatic sites did not allow to draw any conclusion on possible etiopathogenetic hypothesis. A review of literature yielded 35 cases of extracranial metastatic oligodendroglioma from 1989 to 2012.RESULTSImmunohistochemical analysis performed on material from both primary and metastatic sites did not allow to draw any conclusion on possible etiopathogenetic hypothesis. A review of literature yielded 35 cases of extracranial metastatic oligodendroglioma from 1989 to 2012.Though rare, extracranial dissemination from oligodendroglioma may occur not only in long surviving heavily pre-treated patients. The review of literature and these two cases suggest that spread is primarily to bone and then from bone to other organs through hematogenous route mostly due to leptomeningeal or dura mater invasion. Chemotherapy regimens similar to those commonly used for non metastatic oligodendroglioma are recommended for patients with good performance status.CONCLUSIONThough rare, extracranial dissemination from oligodendroglioma may occur not only in long surviving heavily pre-treated patients. The review of literature and these two cases suggest that spread is primarily to bone and then from bone to other organs through hematogenous route mostly due to leptomeningeal or dura mater invasion. Chemotherapy regimens similar to those commonly used for non metastatic oligodendroglioma are recommended for patients with good performance status. Abstract Background Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature. Case reports We report the first two cases of young women with initial diagnosis of anaplastic oligodendroglioma who experienced mammary gland metastases and a review of the literature. Results Immunohistochemical analysis performed on material from both primary and metastatic sites did not allow to draw any conclusion on possible etiopathogenetic hypothesis. A review of literature yielded 35 cases of extracranial metastatic oligodendroglioma from 1989 to 2012. Conclusion Though rare, extracranial dissemination from oligodendroglioma may occur not only in long surviving heavily pre-treated patients. The review of literature and these two cases suggest that spread is primarily to bone and then from bone to other organs through hematogenous route mostly due to leptomeningeal or dura mater invasion. Chemotherapy regimens similar to those commonly used for non metastatic oligodendroglioma are recommended for patients with good performance status. |
| Author | Mazza, E. Doglioni, C. Reni, M. Belli, C. Losio, C. Cantore, M. Terreni, M. Mambrini, A. |
| Author_xml | – sequence: 1 givenname: E. surname: Mazza fullname: Mazza, E. organization: Department of Medical Oncology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy – sequence: 2 givenname: C. surname: Belli fullname: Belli, C. organization: Department of Medical Oncology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy – sequence: 3 givenname: M. surname: Terreni fullname: Terreni, M. organization: Department of Pathology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy – sequence: 4 givenname: C. surname: Doglioni fullname: Doglioni, C. organization: Department of Pathology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy – sequence: 5 givenname: C. surname: Losio fullname: Losio, C. organization: Department of Radiology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy – sequence: 6 givenname: M. surname: Cantore fullname: Cantore, M. organization: Department of Oncology, Ospedale Civile, Piazza Sacco e Vanzetti, 54033 Massa Carrara, Italy – sequence: 7 givenname: A. surname: Mambrini fullname: Mambrini, A. organization: Department of Oncology, Ospedale Civile, Piazza Sacco e Vanzetti, 54033 Massa Carrara, Italy – sequence: 8 givenname: M. surname: Reni fullname: Reni, M. email: reni.michele@hsr.it organization: Department of Medical Oncology, San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy |
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| Keywords | Breast Metastasis Brain tumors Oligodendroglioma |
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| Snippet | Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.
We report the first two cases... Abstract Background Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature. Case... Extraneural dissemination of oligodendroglioma is rare. Cases of breast metastases have never been described in the literature.BACKGROUNDExtraneural... |
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| SubjectTerms | Adult Biopsy Brain Neoplasms - diagnosis Brain Neoplasms - pathology Brain tumors Breast Breast Neoplasms - diagnosis Breast Neoplasms - secondary Female Hematology, Oncology and Palliative Medicine Humans Magnetic Resonance Angiography Metastasis Neoplasm Grading Neovascularization, Pathologic - diagnosis Oligodendroglioma Oligodendroglioma - diagnosis Oligodendroglioma - pathology |
| Title | Breast metastases from oligodendroglioma: An unusual extraneural spread in two young women and a review of the literature |
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