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[PMID]: 29099300
[Au] Autor:Zheng SH; Huang JL; Chen M; Wang BL; Ou QS; Huang SY
[Ad] Address:Department of Neurosurgery, Fujian Provincial Hospital.
[Ti] Title:Diagnostic value of preoperative inflammatory markers in patients with glioma: a multicenter cohort study.
[So] Source:J Neurosurg;:1-10, 2017 Nov 03.
[Is] ISSN:1933-0693
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE Glioma is the most common form of brain tumor and has high lethality. The authors of this study aimed to elucidate the efficiency of preoperative inflammatory markers, including neutrophil/lymphocyte ratio (NLR), derived NLR (dNLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), and prognostic nutritional index (PNI), and their paired combinations as tools for the preoperative diagnosis of glioma, with particular interest in its most aggressive form, glioblastoma (GBM). METHODS The medical records of patients newly diagnosed with glioma, acoustic neuroma, meningioma, or nonlesional epilepsy at 3 hospitals between January 2011 and February 2016 were collected and retrospectively analyzed. The values of NLR, dNLR, PLR, LMR, and PNI were compared among patients suffering from glioma, acoustic neuroma, meningioma, and nonlesional epilepsy and healthy controls by using nonparametric tests. Correlations between NLR, dNLR, PLR, LMR, PNI, and tumor grade were analyzed. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic significance of NLR, dNLR, PLR, LMR, PNI, and their paired combinations for glioma, particularly GBM. RESULTS A total of 750 patients with glioma (Grade I, 81 patients; Grade II, 208 patients; Grade III, 169 patients; Grade IV [GBM], 292 patients), 44 with acoustic neuroma, 271 with meningioma, 102 with nonlesional epilepsy, and 682 healthy controls were included in this study. Compared with healthy controls and patients with acoustic neuroma, meningioma, or nonlesional epilepsy, the patients with glioma had higher values of preoperative NLR and dNLR as well as lower values of LMR and PNI, whereas PLR was higher in glioma patients than in healthy controls and patients with nonlesional epilepsy. Subgroup analysis revealed a positive correlation between NLR, dNLR, PLR, and tumor grade but a negative correlation between LMR, PNI, and tumor grade in glioma. For glioma diagnosis, the area under the curve (AUC) obtained from the ROC curve was 0.722 (0.697-0.747) for NLR, 0.696 (0.670-0.722) for dNLR, 0.576 (0.549-0.604) for PLR, 0.760 (0.738-0.783) for LMR, and 0.672 (0.646-0.698) for PNI. The best diagnostic performance was obtained with the combination of NLR+LMR and dNLR+LMR, with AUCs of 0.777 and 0.778, respectively. Additionally, NLR (AUC 0.860, 95% CI 0.832-0.887), dNLR (0.840, 0.810-0.869), PLR (0.678, 0.641-0.715), LMR (0.837, 0.811-0.863), and PNI (0.740, 0.706-0.773) had significant predictive value for GBM compared with healthy controls and other disease groups. As compared with the Grade I-III glioma patients, the GBM patients had an AUC of 0.811 (95% CI 0.778-0.844) for NLR, 0.797 (0.763-0.832) for dNLR, 0.662 (0.622-0.702) for PLR, 0.743 (0.707-0.779) for LMR, and 0.661(0.622-0.701) for PNI. For the paired combinations, NLR+LMR demonstrated the highest accuracy. CONCLUSIONS The NLR+LMR combination was revealed as a noninvasive biomarker with relatively high sensitivity and specificity for glioma diagnosis, the differential diagnosis of glioma from acoustic neuroma and meningioma, GBM diagnosis, and the differential diagnosis of GBM from low-grade glioma.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher
[do] DOI:10.3171/2017.3.JNS161648

  2 / 19924 MEDLINE  
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[PMID]: 29097333
[Au] Autor:Debernardi A; Quilici L; Lacamera A; Boccardi E; Cenzato M
[Ti] Title:Torcular meningioma with multi-venous-sinuses invasion: compensatory drainage veins and surgical strategy. Case Report.
[So] Source:World Neurosurg;, 2017 Oct 30.
[Is] ISSN:1878-8769
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Torcular meningiomas involving major dural venous sinuses are rare entities and a great challenge for neurosurgeons. The deep knowledge of the patency of occlusion of the sinuses, the extent of the occlusion and potentially new developing of extra and intracranial collateral venous drainage as compensatory venous channels, are at the base of a correct operative strategy. CASE DESCRIPTION: A 45-year-old woman presented with persistent headache. Magnetic resonance imaging scan of the brain and digital subtraction angiography demonstrated a huge torcular meningioma with complete multi-venous-sinuses occlusion and a wide venous network for brain and tumor drainage. We have hypothesized, in this rare cases, the presence of a venous drainage shared by the brain and tumor which could generate, during operative resection, undesired veins occlusion. This could be a reason to explain the well known surgical complications like brain swelling and hemorrhagic infarction. CONCLUSION: We report here Our experience with a huge torcular meningioma with multi-venous- sinuses invasion and a literature review with a special emphasis for compensatory drainage veins and surgical strategy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher

  3 / 19924 MEDLINE  
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[PMID]: 28620750
[Au] Autor:Kessel KA; Fischer H; Oechnser M; Zimmer C; Meyer B; Combs SE
[Ad] Address:Department of Radiation Oncology, Technical University of Munich (TUM), Ismaninger Straße 22, Munich, Germany. Kerstin.Kessel@tum.de.
[Ti] Title:Hochpräzisionsstrahlentherapie bei Meningeomen : Langzeitergebnisse und patientenberichtete Endpunkte. High-precision radiotherapy for meningiomas : Long-term results and patient-reported outcome (PRO).
[So] Source:Strahlenther Onkol;193(11):921-930, 2017 Nov.
[Is] ISSN:1439-099X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To evaluate long-term outcome after high-precision radiotherapy (RT) of meningioma patients in terms of survival and side effects. METHODS: We analyzed 275 meningioma cases: 147 low-grade and 43 high-grade meningiomas (WHO II: n = 40, III: n = 3). In all, 85 patients had no pathologically confirmed histology but were determined as low-grade based on multimodal imaging. Surgery was performed in 183 cases. RT was delivered as either radiosurgery (RS, n = 16), fractionated stereotactic radiotherapy (FSRT, n = 241), or intensity-modulated radiation therapy (IMRT, n = 18). Of 218 patients contacted for patient-reported-outcome (PRO), 207 responded (95%). RESULTS: Median follow-up was 7.2 years. For low-grade meningioma the survival rate (OS) was 97% at 3 years, 85% at 10 years, and 64% at 15 years, for atypical meningioma 91% at 3 years, 62% at 10 years, and 50% at 15 years. Local control rate (PFS) for low-grade meningioma was 91% at 3 years, 87% at 5 years, and 86% at 10 years, for atypical cases 67% at 3 years and 55% at 5 years. Of all, 3.0% of patients reported worsened or new symptoms grade ≥3 during RT and the first 6 months thereafter; 17.5% reported a deterioration after more than 2 years. We found the prognostic factors tumor volume and age significantly influencing OS and PFS. CONCLUSION: Complemented by PRO, we found long-term low toxicity rates in addition to excellent local control. Thus, due to the beneficial risk-benefit profile of benign and high-risk meningiomas, RT should be performed as adjuvant treatment and should not be postponed until tumor progression.
[Mh] MeSH terms primary: Meningeal Neoplasms/therapy
Meningioma/therapy
Radiosurgery/methods
Radiotherapy, Image-Guided/methods
Radiotherapy, Intensity-Modulated/methods
Self Report
Treatment Outcome
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Aged, 80 and over
Child
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Male
Meningeal Neoplasms/diagnostic imaging
Meningeal Neoplasms/mortality
Meningioma/diagnostic imaging
Meningioma/mortality
Middle Aged
Radiotherapy, Adjuvant
Survival Rate
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:170616
[St] Status:MEDLINE
[do] DOI:10.1007/s00066-017-1156-3

  4 / 19924 MEDLINE  
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[PMID]: 28600451
[Au] Autor:Turner MC; Benke G; Bowman JD; Figuerola J; Fleming S; Hours M; Kincl L; Krewski D; McLean D; Parent ME; Richardson L; Sadetzki S; Schlaefer K; Schlehofer B; Schüz J; Siemiatycki J; Tongeren MV; Cardis E
[Ad] Address:Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
[Ti] Title:Interactions between occupational exposure to extremely low frequency magnetic fields and chemicals for brain tumour risk in the INTEROCC study.
[So] Source:Occup Environ Med;74(11):802-809, 2017 Nov.
[Is] ISSN:1470-7926
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVES: In absence of clear evidence regarding possible effects of occupational chemical exposures on brain tumour aetiology, it is worthwhile to explore the hypothesis that such exposures might act on brain tumour risk in interaction with occupational exposure to extremely low frequency magnetic fields (ELF). METHODS: INTEROCC is a seven-country (Australia, Canada, France, Germany, Israel, New Zealand and UK), population-based, case-control study, based on the larger INTERPHONE study. Incident cases of primary glioma and meningioma were ascertained from 2000 to 2004. Job titles were coded into standard international occupational classifications and estimates of ELF and chemical exposures were assigned based on job-exposure matrices. Dichotomous indicators of cumulative ELF (≥50th vs <50th percentile, 1-4 year exposure time window) and chemical exposures (ever vs never, 5-year lag) were created. Interaction was assessed on both the additive and multiplicative scales. RESULTS: A total of 1939 glioma cases, 1822 meningioma cases and 5404 controls were included in the analysis, using conditional logistic regression. There was no clear evidence for interactions between ELF and any of the chemical exposures assessed for either glioma or meningioma risk. For glioma, subjects in the low ELF/metal exposed group had a lower risk than would be predicted from marginal effects. Results were similar according to different exposure time windows, to cut-points of exposure or in exposed-only analyses. CONCLUSIONS: There was no clear evidence for interactions between occupational ELF and chemical exposures in relation to glioma or meningioma risk observed. Further research with more refined estimates of occupational exposures is recommended.
[Mh] MeSH terms primary: Brain Neoplasms/etiology
Electromagnetic Fields/adverse effects
Glioma/etiology
Meningioma/etiology
Occupational Diseases/etiology
Occupational Exposure/adverse effects
[Mh] MeSH terms secundary: Adult
Aged
Australasia
Brain Neoplasms/chemically induced
Canada
Case-Control Studies
Europe
Female
Glioma/chemically induced
Humans
Israel
Logistic Models
Magnetic Fields
Male
Meningeal Neoplasms/chemically induced
Meningeal Neoplasms/etiology
Meningioma/chemically induced
Middle Aged
Occupational Diseases/chemically induced
Risk Factors
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:170610
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2016-104080

  5 / 19924 MEDLINE  
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[PMID]: 28275813
[Au] Autor:Sampath AJ; Miller DC; Mesfin FB; Crim JR
[Ad] Address:University of Missouri School of Medicine, Columbia, MO, USA.
[Ti] Title:Osteochondroma mimicking meningioma: case report and literature update.
[So] Source:Skeletal Radiol;46(6):825-829, 2017 Jun.
[Is] ISSN:1432-2161
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:We report a case of an osteochondroma in a 47-year-old woman presenting with a 2-month history of thoracic back pain that radiated down her left arm. Based on imaging features, the osteochondroma was initially thought to represent a calcified meningioma. The unusual features of the case include the location of the tumor, patient age, the erosion of the vertebra, and the confusing neuroradiological features. We review reported cases in which a solitary costal osteochondroma impinges on the neural foramina or central spinal canal and we discuss reasons for the misdiagnosis in our case.
[Mh] MeSH terms primary: Bone Neoplasms/diagnostic imaging
Meningioma
Osteochondroma/diagnostic imaging
[Mh] MeSH terms secundary: Back Pain/etiology
Bone Neoplasms/complications
Bone Neoplasms/surgery
Diagnosis, Differential
Female
Humans
Lumbar Vertebrae/diagnostic imaging
Lumbar Vertebrae/surgery
Magnetic Resonance Imaging
Middle Aged
Osteochondroma/complications
Osteochondroma/surgery
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:170309
[St] Status:MEDLINE
[do] DOI:10.1007/s00256-017-2608-7

  6 / 19924 MEDLINE  
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[PMID]: 28120068
[Au] Autor:Quiñones-Hinojosa A; Raza SM; Lazaridis C; Olivi A
[Ad] Address:Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
[Ti] Title:Olfactory Groove Meningiomas: Acute Presentation and Potential : Pitfalls in Management and Functional Restoration.
[So] Source:Acta Neurochir Suppl;124:155-158, 2017.
[Is] ISSN:0065-1419
[Cp] Country of publication:Austria
[La] Language:eng
[Ab] Abstract:Meningiomas are typically benign, slow-growing lesions that present after an insidious onset of symptoms related to mass effect. The acute presentation of a patient who has suffered a transtentorial herniation event due to a meningioma is rare. There are only few publications describing such a presentation in the absence of hemorrhage [1]. In this case report, a patient with an olfactory groove meningioma presenting with signs and symptoms of transtentorial herniation in the absence of tumor-associated hemorrhage is discussed. This is a unique presentation of such a lesion. The patient developed Anton's syndrome-binocular visual loss with blindness denial. Management considerations for patients with meningiomas that present with acute deterioration are discussed.
[Mh] MeSH terms primary: Meningeal Neoplasms/diagnostic imaging
Meningioma/diagnostic imaging
[Mh] MeSH terms secundary: Blindness, Cortical/etiology
Craniotomy
Diffusion Magnetic Resonance Imaging
Female
Humans
Magnetic Resonance Imaging
Meningeal Neoplasms/complications
Meningeal Neoplasms/surgery
Meningioma/complications
Meningioma/surgery
Middle Aged
Neurosurgical Procedures
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:170125
[St] Status:MEDLINE
[do] DOI:10.1007/978-3-319-39546-3_24

  7 / 19924 MEDLINE  
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[PMID]: 28120063
[Au] Autor:Peron S; Cividini A; Santi L; Galante N; Castelnuovo P; Locatelli D
[Ad] Address:Department of Neurosurgery, Legnano Civil Hospital, Via Papa Giovanni Paolo II, 20025, Legnano, Italy. ste.peron@libero.it.
[Ti] Title:Spheno-Orbital Meningiomas: When the Endoscopic Approach Is Better.
[So] Source:Acta Neurochir Suppl;124:123-128, 2017.
[Is] ISSN:0065-1419
[Cp] Country of publication:Austria
[La] Language:eng
[Ab] Abstract:Spheno-orbital meningiomas were historically treated by traditional craniotomies. However, in the past few years new endoscopic treatments have been successfully performed. In this study, we analyzed different indications for craniotomy and endoscopy, and the advantages and disadvantages of these procedures.Thirty patients with spheno-orbital meningiomas were operated on over 2 years, between 2013 and 2014. Computed tomography (CT) and magnetic resonance imaging (MRI) were performed in all patients preoperatively. Navigated surgical removal and histological confirmation, as well as follow-up examinations, including CT scan at 24 h and MRI at 3, 6, and 12 months after surgery, were performed. Twenty-three patients were treated by traditional fronto-temporal, fronto-temporo-orbital, and supraorbital craniotomies; in six cases the tumor was removed via endoscopic endonasal and lateral transorbital resection. Only one case required a combined supraorbital and endoscopic endonasal approach.We analyzed the results of the different surgical techniques, in particular those of the endoscopic approaches.In selected cases, the endoscopic approach to spheno-orbital meningiomas, compared with traditional approaches, may be more effective in removing tumors completely. The surgical technique is easy and the rate of complications is low.
[Mh] MeSH terms primary: Meningeal Neoplasms/surgery
Meningioma/surgery
Neuroendoscopy/methods
Orbital Neoplasms/surgery
Sphenoid Bone/surgery
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Magnetic Resonance Imaging
Male
Meningeal Neoplasms/diagnostic imaging
Meningioma/diagnostic imaging
Middle Aged
Neurosurgical Procedures/methods
Orbital Neoplasms/diagnostic imaging
Sphenoid Bone/diagnostic imaging
Tomography, X-Ray Computed
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[Js] Journal subset:IM
[Da] Date of entry for processing:170125
[St] Status:MEDLINE
[do] DOI:10.1007/978-3-319-39546-3_19

  8 / 19924 MEDLINE  
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[PMID]: 29091248
[Au] Autor:Zhou X; Din Z; Liu H; Li Y
[Ad] Address:The First Affiliated Hospital of University of South China, Department of Neurosurgery, Hengyang, China.
[Ti] Title:Multiple Intracranial Aneurysms Concurrent with a Clinoid Meningioma: A Case Report.
[So] Source:Turk Neurosurg;, 2017 Sep 20.
[Is] ISSN:1019-5149
[Cp] Country of publication:Turkey
[La] Language:eng
[Ab] Abstract:The coexistence of intracranial aneurysms and a meningioma is not a clinically common phenomenon. Here we present the case of a meningioma of the left anterior clinoid process concurrent with a right clinoid aneurysm and a ruptured aneurysm of the left post communicating artery (PcomA). Immediately after radiographically establishing a diagnosis of multiple aneurysms and to reduce the risk of rebleeding, we performed a microscopic surgery to clip the aneurysms using a left frontotemporal approach. During the surgery, an unexpected clinoid meningioma was detected and simultaneously resected. The patient tolerated the entire procedure well and reported no postoperative neurological deficits during the follow-up visit. The use of modern microsurgical techniques along with an appropriate approach ensured that the procedure remained both successful and safe.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171101
[Lr] Last revision date:171101
[St] Status:Publisher
[do] DOI:10.5137/1019-5149.JTN.21084-17.1

  9 / 19924 MEDLINE  
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[PMID]: 29070870
[Au] Autor:Poulon F; Mehidine H; Juchaux M; Varlet P; Devaux B; Pallud J; Abi Haidar D
[Ad] Address:IMNC Laboratory UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, 91405, France.
[Ti] Title:Optical properties, spectral, and lifetime measurements of central nervous system tumors in humans.
[So] Source:Sci Rep;7(1):13995, 2017 Oct 25.
[Is] ISSN:2045-2322
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:A key challenge of central nervous system tumor surgery is to discriminate between brain regions infiltrated by tumor cells and surrounding healthy tissue. Although monitoring of autofluorescence could potentially be an efficient way to provide reliable information for these regions, we found little information on this subject, and thus we conducted studies of brain tissue optical properties. This particular study focuses on the different optical quantitative responses of human central nervous system tumors and their corresponding controls. Measurements were performed on different fixed human tumoral and healthy brain samples. Four groups of central nervous system tumors (glioblastoma, diffuse glioma, meningioma and metastasis) were discriminated from healthy brain and meninx control tissues. A threshold value was found for the scattering and absorption coefficient between tumoral and healthy groups. Emission Spectra of healthy tissue had a significant higher intensity than tumoral groups. The redox and optical index ratio were thenn calculated and these also showed significant discrimination. Two fluorescent molecules, NADH and porphyrins, showed distinct lifetim values among the different groups of samples. This study defines several optical indexes that can act as combinated indicators to discriminate healthy from tumoral tissues.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171101
[Lr] Last revision date:171101
[St] Status:In-Data-Review
[do] DOI:10.1038/s41598-017-14381-1

  10 / 19924 MEDLINE  
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[PMID]: 28960048
[Au] Autor:Han JY; Choi JW; Wang KC; Phi JH; Lee JY; Chae JH; Park SH; Cheon JE; Kim SK
[Ad] Address:Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.
[Ti] Title:Coexistence of Radiation-Induced Meningioma and Moyamoya Syndrome 10 Years after Irradiation against Medulloblastoma: a Case Report.
[So] Source:J Korean Med Sci;32(11):1896-1902, 2017 Nov.
[Is] ISSN:1598-6357
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:Radiotherapy is one of the standard treatments for medulloblastoma. However, therapeutic central nervous system irradiation in children may carry delayed side effects, such as radiation-induced tumor and vasculopathy. Here, we report the first case of coexisting meningioma and moyamoya syndrome, presenting 10 years after radiotherapy for medulloblastoma. A 13-year-old boy presented with an enhancing mass at the cerebral falx on magnetic resonance imaging (MRI) after surgery, radiotherapy (30.6 Gy craniospinal axis, 19.8 Gy posterior fossa) and chemotherapy against medulloblastoma 10 years ago, previously. The second tumor was meningioma. On postoperative day 5, he complained of right-sided motor weakness, motor dysphasia, dysarthria, and dysphagia. MRI revealed acute cerebral infarction in the left frontal lobe and both basal ganglia. MR and cerebral angiography confirmed underlying moyamoya syndrome. Four months after the meningioma surgery, the patient presented with headaches, dysarthria, and dizziness. Indirect bypass surgery was performed. He has been free from headaches since one month after the surgery. For patients who received radiotherapy for medulloblastoma at a young age, clinicians should consider the possibility of the coexistence of several complications. Careful follow up for development of secondary tumor and delayed vasculopathy is required.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1709
[Cu] Class update date: 171101
[Lr] Last revision date:171101
[St] Status:In-Process
[do] DOI:10.3346/jkms.2017.32.11.1896


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