Development of medullomyoblastoma from classical medulloblastoma following a long term latency.

H Yokoo, A Maeshima, A Sasaki, J Hirato, Y Nakazato, M Tamura
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Abstract

A case of medullomyoblastoma is described. Partial removal of a cerebellar tumor was performed at the age of 21 months old, and histopathological diagnosis was medulloblastoma. Death occurred at 15 years of age, due to pneumonia and relapse of the tumor. Autopsy revealed well-differentiated muscular and ependymal components disseminated in the medulloblastic area. Immunohistochemically, desmin was positively detected in not only autopsy materials but also undifferentiated cells of the surgical specimens, suggesting prospective myoblastic differentiation.

经典髓母细胞瘤经长期潜伏期发展为髓母细胞瘤。
报告一例髓母细胞瘤。在21个月大时进行了小脑肿瘤的部分切除,组织病理学诊断为髓母细胞瘤。死亡发生在15岁,原因是肺炎和肿瘤复发。尸检显示分化良好的肌肉和室管膜成分散布在髓母细胞区。免疫组织化学结果显示,desmin不仅在尸检材料中检测到阳性,而且在手术标本的未分化细胞中也检测到阳性,提示有可能发生成肌细胞分化。
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