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A primary extradural malignant rhabdoid tumor at the craniovertebral junction in a 3-year-old boy

Overview of attention for article published in Child's Nervous System, October 2017
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Title
A primary extradural malignant rhabdoid tumor at the craniovertebral junction in a 3-year-old boy
Published in
Child's Nervous System, October 2017
DOI 10.1007/s00381-017-3631-7
Pubmed ID
Authors

Takuma Nishimoto, Sadahiro Nomura, Reiji Fukano, Tokuhiro Kimura, Eiji Ikeda, Michiyasu Suzuki

Abstract

Malignant rhabdoid tumor (MRT) is a highly aggressive childhood neoplasm and mainly presents in kidney and brain. We report the case of a patient with extrarenal extracranial MRT in the craniovertebral junction (CVJ). A 3-year-old boy presented with tetraparesis that had rapidly developed for 2 weeks. The tumor was located in the ventral side of the C1 and C2 extradural space and had invaded the lower clivus. The symptom recovered after subtotal resection of the tumor through a lateral approach with removal of bilateral lateral masses at C1 and instrumental occipital-C2 posterior fusion. Definite histological diagnosis of the extradural tumor was difficult; however, a metastatic lesion in the rib showed a proliferation of INI1/SMARCB1-negative spindle and rhabdoid cells, indicating the tumor was MRT. Stereotactic CyberKnife radiotherapy with a marginal dose of 26 Gy contributed to control of local regrowth of the tumor before histopathological confirmation and induction of chemotherapy with ifosfamide, cisplatin, and etoposide. The patient survived for 29 months without local recurrence of the tumor and with independent activity, however then died of multiple metastases. Treatment strategies for MRT in the CVJ should include an optimal surgical approach for reduction of tumor volume and stabilization of the spine, followed by high dose chemotherapy. Stereotactic radiotherapy may be useful for local control.

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Mendeley readers

The data shown below were compiled from readership statistics for 6 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 6 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 2 33%
Student > Master 1 17%
Student > Bachelor 1 17%
Other 1 17%
Professor 1 17%
Other 0 0%
Readers by discipline Count As %
Medicine and Dentistry 6 100%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 November 2017.
All research outputs
#9,667,992
of 12,088,915 outputs
Outputs from Child's Nervous System
#665
of 1,301 outputs
Outputs of similar age
#206,678
of 284,748 outputs
Outputs of similar age from Child's Nervous System
#39
of 85 outputs
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