A Case of Multicentric Glioblastoma over Three Independent Regions

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  • Otaki Ryo
    Department of Neurological Surgery, Nihon University School of Medicine
  • Yamamuro Shun
    Department of Neurological Surgery, Nihon University School of Medicine
  • Kumagawa Takahiro
    Department of Neurological Surgery, Nihon University School of Medicine
  • Sumi Koichiro
    Department of Neurological Surgery, Nihon University School of Medicine
  • Nishimaki Haruna
    Division of Oncologic Pathology, Department of Pathology and Microbiology, Nihon University School of Medicine
  • Oshima Hideki
    Department of Neurological Surgery, Nihon University School of Medicine
  • Yoshin Atsuo
    Department of Neurological Surgery, Nihon University School of Medicine

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Other Title
  • 3 領域にわたり複数の病変を認めた多中心性膠芽腫の一例
  • 症例報告 3領域にわたり複数の病変を認めた多中心性膠芽腫の一例
  • ショウレイ ホウコク 3 リョウイキ ニ ワタリ フクスウ ノ ビョウヘン オ ミトメタ タチュウシンセイコウガ シュ ノ イチレイ

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Abstract

We present multicentric glioblastomas radiologically mimicking metastatic tumors. A 57-year-old female presented with multiple brain masses accompanied by generalized seizures. Since there was no primary lesion considered to be the origin, the patient underwent craniotomy to remove the mass. The mass was pathologically diagnosed as glioblastoma, IDH-wildtype. When we found a multicentric tumor mass in the brain, a metastatic tumor was first suspected, and radiotherapy without surgical resection was believed to be acceptable. However, glioblastoma, which requires intensive chemoradiotherapy, rarely demonstrates multiple lesions as in the presented case. Therefore, surgical resection should be considered to make a diagnosis and treat multiple brain tumors, especially in cases with no certain primary lesion.

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