Atypical teratoid rhabdoid tumor natural history, complications and prognosis: Difference between revisions

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==Natural History==
==Natural History==
If left untreated, patients with atypical teratoid rhabdoid tumor may progress to develop [[obstructive hydrocephalus]], leptomeningeal dissemination, and ultimately death.<ref name="pmid22135607">{{cite journal| author=Chan KH, Mohammed Haspani MS, Tan YC, Kassim F| title=A case report of atypical teratoid/rhabdoid tumour in a 9-year-old girl. | journal=Malays J Med Sci | year= 2011 | volume= 18 | issue= 3 | pages= 82-6 | pmid=22135607 | doi= | pmc=PMC3216225 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22135607  }} </ref>
*If left untreated, patients with atypical teratoid rhabdoid tumor may progress to develop [[obstructive hydrocephalus]], leptomeningeal dissemination, and ultimately death.<ref name="pmid22135607">{{cite journal| author=Chan KH, Mohammed Haspani MS, Tan YC, Kassim F| title=A case report of atypical teratoid/rhabdoid tumour in a 9-year-old girl. | journal=Malays J Med Sci | year= 2011 | volume= 18 | issue= 3 | pages= 82-6 | pmid=22135607 | doi= | pmc=PMC3216225 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22135607  }} </ref>


==Complications==
==Complications==
Common complications of atypical teratoid rhabdoid tumor include:<ref name="pmid22135607">{{cite journal| author=Chan KH, Mohammed Haspani MS, Tan YC, Kassim F| title=A case report of atypical teratoid/rhabdoid tumour in a 9-year-old girl. | journal=Malays J Med Sci | year= 2011 | volume= 18 | issue= 3 | pages= 82-6 | pmid=22135607 | doi= | pmc=PMC3216225 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22135607  }} </ref>
*Common complications of atypical teratoid rhabdoid tumor include:<ref name="pmid22135607">{{cite journal| author=Chan KH, Mohammed Haspani MS, Tan YC, Kassim F| title=A case report of atypical teratoid/rhabdoid tumour in a 9-year-old girl. | journal=Malays J Med Sci | year= 2011 | volume= 18 | issue= 3 | pages= 82-6 | pmid=22135607 | doi= | pmc=PMC3216225 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22135607  }} </ref>
*[[Obstructive hydrocephalus]]
:*[[Obstructive hydrocephalus]]
*Leptomeningeal dissemination
:*Leptomeningeal dissemination
*Recurrence
:*Recurrence
 
One case of metastatic disease to the abdomen via ventriculoperitoneal [[shunt (medical)|shunt]] has been reported with AT/RT .  Metastatic dissemination via this mechanism has been reported with other brain tumors including [[germinoma]]s, [[medulloblastoma]]s, [[astrocytoma]]s, [[Glioma|glioblastomas]], [[Ependymoma|ependymomas]] and [[endodermal sinus tumor]]s.  Guler and Sugita separately reported cases of lung metastasis without a shunt.<ref>{{cite journal
|author=Güler E, Varan A, Söylemezoglu F, ''et al''
|title=Extraneural metastasis in a child with atypical teratoid rhabdoid tumor of the central nervous system
|journal=J. Neurooncol.
|volume=54
|issue=1
|pages=53–6
|year=2001
|pmid=11763423
|doi=
|url=http://www.kluweronline.com/art.pdf?issn=0167-594X&volume=54&page=53
}}</ref><ref>{{cite journal
|author=Sugita Y, Takahashi Y, Hayashi I, Morimatsu M, Okamoto K, Shigemori M
|title=Pineal malignant rhabdoid tumor with chondroid formation in an adult
|journal=Pathol. Int.
|volume=49
|issue=12
|pages=1114–8
|year=1999
|pmid=10632935
|doi=
|url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=1320-5463&date=1999&volume=49&issue=12&spage=1114
}}</ref>


==Prognosis==
==Prognosis==
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==References==
==References==
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{{reflist|2}}
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[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Rare cancers]]
[[Category:Rare cancers]]
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[[Category:Pediatric cancers]]
[[Category:Pediatric cancers]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Needs content]]
[[Category:Oncology]]
[[Category:Needs overview]]
 
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Revision as of 19:56, 16 December 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Natural History

  • If left untreated, patients with atypical teratoid rhabdoid tumor may progress to develop obstructive hydrocephalus, leptomeningeal dissemination, and ultimately death.[1]

Complications

  • Common complications of atypical teratoid rhabdoid tumor include:[1]

Prognosis

  • Prognosis is generally poor, and the 5-year overall survival rate of patients with atypical teratoid rhabdoid tumor is 29 ± 9%.[2]
  • The patients usually succumb to atypical teratoid rhabdoid tumor between 6 months and 1 year from diagnosis.
  • Compared to medulloblastoma, atypical teratoid rhabdoid tumor has a significantly worse prognosis
  • Older age at diagnosis is a favorable prognostifc factor for atypical teratoid rhabdoid tumor.
  • Poor prognostic factors for atypical teratoid rhabdoid tumor include:[3]
    • Germline mutation
    • Age < 2 years
    • Metastases at diagnosis
    • Subtotal resection
    • Large tumors
    • Recurrence

References

  1. 1.0 1.1 Chan KH, Mohammed Haspani MS, Tan YC, Kassim F (2011). "A case report of atypical teratoid/rhabdoid tumour in a 9-year-old girl". Malays J Med Sci. 18 (3): 82–6. PMC 3216225. PMID 22135607.
  2. Ginn, Kevin F.; Gajjar, Amar (2012). "Atypical Teratoid Rhabdoid Tumor: Current Therapy and Future Directions". Frontiers in Oncology. 2. doi:10.3389/fonc.2012.00114. ISSN 2234-943X.
  3. Prognosis of atypical teratoid rhabdoid tumor. National Cancer Institute 2015. http://www.cancer.gov/types/brain/hp/child-cns-atrt-treatment-pdq. Accessed on December 14, 2015

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