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From a dysembryoplastic neuroepithelial tumor to a glioblastoma multiforme:Pitfalls of initial diagnosis on biopsy material, a case report

Title: From a dysembryoplastic neuroepithelial tumor to a glioblastoma multiforme:Pitfalls of initial diagnosis on biopsy material, a case report
Authors: Slegers, Rutger J; Beckervordersandforth, Jan; Hoeben, Ann; Hoogland, Govert; Broen, Martijn P G; Anten, Monique; Dings, Jim T A; van den Ende, Piet; Henneman, Wouter J P; Schijns, Olaf E M G
Source: Slegers, R J, Beckervordersandforth, J, Hoeben, A, Hoogland, G, Broen, M P G, Anten, M, Dings, J T A, van den Ende, P, Henneman, W J P & Schijns, O E M G 2022, 'From a dysembryoplastic neuroepithelial tumor to a glioblastoma multiforme : Pitfalls of initial diagnosis on biopsy material, a case report', Surgical Neurology International, vol. 13, 43. https://doi.org/10.25259/SNI_1153_2021
Publication Year: 2022
Collection: Maastricht University Research Publications
Description: Background: Ganglioglioma (GG) and dysembryoplastic neuroepithelial tumor (DNET) belong to the group of low-grade epilepsy-associated tumors (LEAT) and are the most prevalent tumor types found in patients undergoing epilepsy surgery. Histopathological differentiation between GG and DNET can be difficult on biopsies due to limited tumor tissue. Case Description: Here, we present a rare case where a low-grade tumor was initially classified as DNET, based on biopsy findings and unfortunately dedifferentiated within 10 years into a glioblastoma multiforme. After gross total resection, the initial tumor was reclassified as GG. Conclusion: This case illustrates the diagnostic challenges of LEAT, especially on biopsy material. Therefore, we advocate to counsel for complete resection and histopathological diagnosis utilizing tumor markers to confirm the nature of the tumor and to advice type of follow-up and eventual concurrent treatment.
Document Type: article in journal/newspaper
Language: English
ISSN: 2229-5097
Relation: info:eu-repo/semantics/altIdentifier/pmid/35242409; info:eu-repo/semantics/altIdentifier/pissn/2229-5097
DOI: 10.25259/SNI_1153_2021
Availability: https://cris.maastrichtuniversity.nl/en/publications/2995942a-35c4-414b-aa55-29422e9aecb6; https://doi.org/10.25259/SNI_1153_2021
Rights: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by-nc-sa/4.0/
Accession Number: edsbas.8B3C75AF
Database: BASE