CASE REPORT |
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Year : 2012 | Volume
: 55
| Issue : 4 | Page : 521-524 |
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Pediatric gliosarcoma with fibrosarcomatous differentiation: Report of a rare case
Shantha Ravisankar1, R Vimal Chander2, Prem Kumar Devadoss3
1 Department of Pathology, Institute of Neurology, Madras Medical College, Chennai, India 2 Department of Pathology, Institute of Pathology, Madras Medical College, Chennai, India 3 Department of Medical Oncology, Madras Medical College, Chennai, India
Correspondence Address:
Shantha Ravisankar Department of Pathology, Institute of Neurology, Madras Medical College, Chennai - 600 003 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0377-4929.107797
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Gliosarcoma is a rare variant of glioblastoma with a biphasic pattern showing glial and mesenchymal differentiation. It is seen in adults during their fifth to sixth decades of life and is extremely rare in children. We report a case of primary gliosarcoma with fibrosarcomatous differentiation in an 11-year-old boy presenting with headache and vomiting. Imaging showed a contrast-enhancing isodense space-occupying lesion with areas of calcification in the right temporoparietal cortex. A total excision was done and, on histopathologic examination, a differential diagnostic consideration of gliosarcoma and teratoma with malignant transformation was made. After immunohistochemical analysis, a final diagnosis of gliosarcoma with fibrosarcomatous differentiation was then made. Primary gliosarcoma is a very rare tumor in children with a poor prognosis. |
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