Long-term survival in a child with a central nervous system medulloepithelioma.

J Neurosurg Pediatr

Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

Published: November 2008

Central nervous system medulloepitheliomas are extremely rare and malignant (World Health Organization Grade IV) primitive neuroectodermal tumors (PNETs) that arise in childhood. Unlike other PNETs, medulloepitheliomas have a dismal prognosis, with only 2 reported cases in the literature in which the patient survived beyond 5 years after treatment. The authors report on the third known case of a child who survived longer than 5 years. A review of all the published cases of medulloepithelioma is also presented, and alternative treatment strategies for PNET tumors, including high-dose chemotherapy with stem-cell rescue, are discussed.

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http://dx.doi.org/10.3171/PED.2008.2.11.349DOI Listing

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