Skip to main content
Log in

Pediatric giant cell glioblastoma: a case report and review of the literature

  • Case Report
  • Published:
Child’s Nervous System Aims and scope Submit manuscript

Abstract

Introduction

Giant cell glioblastoma is a subtype of glioblastoma multiforme (GM) whose most characteristic histology is the presence of plentiful multinucleated giant cells. These tumours are very rare and account for only 5% of GM. They do not have specific localization, although normally they are supratentorial and affect mostly the temporal lobe. They may occur at any age, but mostly they occur in younger people than GM. They are infrequent in childhood, but they have longer survival in paediatric age.

Case report

We present an 11-year-old girl that was operated but whose tumour recurred in a month after apparent total removal.

Discussion

We review in the literature the clinical, histological, immuno-histochemical and genetic characteristics, as well the prognosis of this tumour.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Artico M, Cervoni L, Celli P, Salvati M, Palma L (1993) Supratentorial glioblastoma in children: a series of 27 surgically treated cases. Childs Nerv Syst 9:7–9

    Article  CAS  PubMed  Google Scholar 

  2. Burger PC, Vollmer RT (1980) Histologic factors of prognostic significance in the glioblastoma multiforme. Cancer 46:1179–1186

    Article  CAS  PubMed  Google Scholar 

  3. Campbell JW, Pollack IF, Martínez AJ, Shultz B (1996) High-grade astrocytomas in children: radiologically complete resection is associated with an excellent long-term prognosis. Neurosurgery 38:258–264

    Article  CAS  PubMed  Google Scholar 

  4. Chandler KL, Prados MD, Malec M, Wilson CB (1993) Long-term survival in patients with glioblastoma multiforme. Neurosurgery 32:716–720

    Article  CAS  PubMed  Google Scholar 

  5. Giannini C, Scheithauer B, Burger C, Brat D, Wollan P, Lach R, O’Neill P (1999) Pleomorphic xanthoastrocytoma. What do we really know about it? Cancer 85:2033–2045

    Article  CAS  PubMed  Google Scholar 

  6. Margetts JC, Kalyan-Raman UP (1989) Giant-celled glioblastoma of brain. A clinico–pathological and radiological study of ten cases (including immunohistochemistry and ultrastructure). Cancer 63:524–531

    Article  CAS  PubMed  Google Scholar 

  7. Kato M, Aida T, Sugimoto S, Suwamura Y, Abe H, Isu T, Kaneko S, Mitsumori K, Kojima H, Nakamura N, Nagashima K (1995) Immunohistochemical analysis of giant cell glioblastoma. Pathol Int 45:275–282

    Article  Google Scholar 

  8. Klein R, Mölenkamp G, Sörensen N, Roggendorf W (1998) Favorable outcome of giant cell glioblastoma in a child. Report of an 11-year survival period. Childs Nerv Syst 14:288–291

    Article  CAS  PubMed  Google Scholar 

  9. Macaulay RJ, Jay V, Hoffman HJ, Becker LE (1993) Increased mitotic activity as negative prognostic indicator in pleomorphic xanthoastrocytoma. Case report. J Neurosurg 79:761–768

    Article  CAS  PubMed  Google Scholar 

  10. McLendon RE, Enterline DS, Tien RD, Thorstad WL, Bruner JM (1998) Tumors of central neuroepithelial origin. In: Bigner DD, McLendon RE, Bruner JM (eds) Russell and Rubinstein’s pathology of tumors of the nervous system, 6th edn. Arnold, London, pp 307–571

    Google Scholar 

  11. Ohgaki H, Peraud A, Nakazato Y, Watanabe K, Von Deimling A (2000) Giant cell glioblastoma. In: Kleihues P, Cavenee WK (eds) Pathology and genetics. Tumor of the nervous system. IARC, Lyon, pp 40–41

    Google Scholar 

  12. Palma L, Celli P, Maleci A, Di Lorenzo N, Cantore G (1989 ) Malignant monstrocellular brain tumours. A study of 42 surgically treated cases. Acta Neurochir 97:17–25

    Article  CAS  PubMed  Google Scholar 

  13. Peraud A, Watanabe K, Plate, KH, Yasuhiro Yonekama Y, Kleihues P, Ohgaki H (1997) P53 mutations versus EGF receptor expression in giant cell glioblastomas. J Neuropathol Exp Neurol 56:1236–1241

    Article  CAS  PubMed  Google Scholar 

  14. Peraud A, Watanabe K, Schwechheimer K, Yonekawa Y, Kleihues P, Ohgaki H (1999) Genetic profile of the giant cell glioblastoma. Lab Invest 79:123–129

    CAS  PubMed  Google Scholar 

  15. Pollack IF, Campbell JW, Hamilton RL, Martínez AJ, Bozik ME (1997) Proliferation index as predictor of prognosis in malignant gliomas of childhood. Cancer 79:849–856

    Article  CAS  PubMed  Google Scholar 

  16. Pollack IF, Hamilton RL, Burnham J, Holmes EJ, Finkelstein SD, Sposto R, Yates A, Boyett J, Finlay JL (2002) Impact of proliferation index on outcome in childhood malignant gliomas: results in a multi-institutional cohort. Neurosurgery 50:1238–1244

    PubMed  Google Scholar 

  17. Raco A, Bristot R, Salvati M, Delfín R (1997) Malignant supratentorial astrocytoma of late childhood. Our experience with 25 cases. Childs Nerv Syst 13:341–344

    Article  CAS  PubMed  Google Scholar 

  18. Rodriguez-Pereira C, Súarez-Peñaranda JM, Vazquez-Salvado M, Sobrido MJ, Abraldes M, Barros F, Forteza J (2000) Value of MIB-1 labelling index (LI) in gliomas and its correlation with other prognostic factors. A clinicopathology study. J Neurosurg Sci 44:203–210

    CAS  PubMed  Google Scholar 

  19. Sung T, Miller DC, Hayes RL, Alonso M, Yee H, Newcomb W (2000) Preferential inactivation of the p53 tumor suppressor pathway and lack of EFGR amplification distinguish de novo high grade pediatric astrocytomas from de novo adult astrocytomas. Brain Pathol 10:249–259

    Article  CAS  PubMed  Google Scholar 

  20. Zulch KJ (1986) Brain tumors. Their biology and pathology, 3rd edn. Springer, Berlin Heidelberg New York, pp 407–413

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to I. De Prada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

De Prada, I., Cordobés, F., Azorín, D. et al. Pediatric giant cell glioblastoma: a case report and review of the literature. Childs Nerv Syst 22, 285–289 (2006). https://doi.org/10.1007/s00381-005-1178-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-005-1178-5

Keywords

Navigation