Brain Tumor Res Treat.  2019 Oct;7(2):141-146. 10.14791/btrt.2019.7.e32.

Found at Old Age and Continuously Growing WHO Grade II Fourth Ventricle Ependymoma: A Case Report

Affiliations
  • 1Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Pathology, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.
  • 3Department of Radiology, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.
  • 4Department of Cancer Control, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea. nsghs@ncc.re.kr

Abstract

A 74-year-old woman presented with a month-long nausea and vomiting, then she could not take a meal. She had found an asymptomatic 4th ventricular mass 6 year ago as a preoperative work-up for ovarian cancer. And during the yearly follow-up, the mass had grown continuously over 6 years, and caused symptoms in the seventh year. MRI revealed a large ovoid extra-axial mass in the fourth ventricle compressing adjacent medulla and cerebellum. Surgery achieved near total resection since the tumor tightly adhered to the brain stem of 4th ventricle floor. The histological diagnosis was ependymoma (WHO grade II). She transferred rehabilitation facility for mild gait disturbance, hoarseness and swallowing difficulty. Fourth ventricle ependymoma in the elderly is extremely rare and the growth rate has not been reported. Here, we present a rare care of 4th ventricle ependymoma found asymptomatic at elderly but continuously grow to cause local pressure symptoms.

Keyword

Ependymoma; Grade II; Fourth ventricle; Elderly

MeSH Terms

Aged
Brain Stem
Cerebellum
Deglutition
Diagnosis
Ependymoma*
Female
Follow-Up Studies
Fourth Ventricle*
Gait
Hoarseness
Humans
Magnetic Resonance Imaging
Meals
Nausea
Ovarian Neoplasms
Rehabilitation
Vomiting
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