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Indian Journal of Cancer Education and Research

Volume  10, Issue 1, January - June 2022, Pages 33-36
 

Case Report

Unusual Metastasis to Supra Tentorial Brain from Posterior Fossa Medulloblastoma: A Rare Case

Ruchi Sharma1, Anand Lodhi2, Taher Manaquibwala3, Ashar Iqbal Lodi4, Saurabh Karnawat5, Virendra Bhandari6

4Registrar, 5Assistant Professor, 6Professor, Department of Radiation Oncology, Sri Aurobindo Medical College and PG Institute, Indore 453555, Madhya Pradesh, India.

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DOI: http://dx.doi.org/10.21088/ijcer.2321.9815.10122.4

Abstract

Medulloblastoma is a malignant invasive embryonal tumor of the cerebellum. It accounts for approximately 15% to 20% of all central nervous system tumors in children. It is the most common brain tumor in children, but it is rare in adults.1 Medulloblastoma is an aggressive tumor (WHO Grade IV) and recurrences are common even after adequate treatment. Most of the recurrences occur within two years of initial treatment. The most common location is in the posterior fossa, followed by spinal, supratentorial, and uncommonly, systemic metastases. We present a case of a 13-year-old male who was operated for Medulloblastoma and received craniospinal irradiation two years back and presented to our institute with complaints of vomiting and headache for 15 days. MRI revealed a mass in the frontal-basifrontal region. Post-excision histopathology was suggestive of supratentorial metastasis. This case is rare because supra-tentorial metastases of medulloblastoma are very uncommon


Corresponding Author : Ruchi Sharma