Indian Journal of Pathology and Microbiology

CASE REPORT
Year
: 2009  |  Volume : 52  |  Issue : 3  |  Page : 383--385

Frontal recurrence of medulloblastoma five years after excision and craniospinal irradiation


YB Roka, P Bista, GR Sharma, D Adhikari, P Kumar 
 National Neurosurgical Referral Centre, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Correspondence Address:
Y B Roka
National Neurosurgical Referral Centre, National Academy of Medical Sciences, Bir Hospital, Kathmandu
Nepal

Medulloblastomas were originally classified under gliomas of the cerebellum until Bailey and Cushing in 1925 named these tumors as medulloblastoma. At present these tumors are classified under primitive neuroectodermal tumor. Surgical excision followed by craniospinal irradiation is the treatment of choice. A 13-year-old-girl operated for posterior fossa medulloblastoma 5 years ago presented with history of headache and vomiting on and off for 4 days in late August 2008. The MRI showed left frontal tumor which on excision was reported as medulloblastoma. Even after optimal treatment reports of recurrence abound in literature. The most common location is in the posterior fossa, followed by spinal, supratentorial, and uncommonly, systemic metastases. We conclude that medulloblastomas are highly aggressive tumor with high local recurrences if the initial excision is incomplete and that recurrence in the supratentorial area although uncommon is still a possibility. This mandates regular follow up of these children till adulthood to catch early recurrences and metastatic disease.


How to cite this article:
Roka Y B, Bista P, Sharma G R, Adhikari D, Kumar P. Frontal recurrence of medulloblastoma five years after excision and craniospinal irradiation.Indian J Pathol Microbiol 2009;52:383-385


How to cite this URL:
Roka Y B, Bista P, Sharma G R, Adhikari D, Kumar P. Frontal recurrence of medulloblastoma five years after excision and craniospinal irradiation. Indian J Pathol Microbiol [serial online] 2009 [cited 2021 Jun 16 ];52:383-385
Available from: https://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=3;spage=383;epage=385;aulast=Roka;type=0