A rare case of tumor-mimicking primary angiitis of the central nervous system

  • Authors:
    • Li Sun
    • Lijun Zhu
    • Teng Zhao
    • Dayan Wang
    • Dihui Ma
    • Rensheng Zhang
    • Shaokuan Fang
  • View Affiliations

  • Published online on: February 18, 2016     https://doi.org/10.3892/mco.2016.784
  • Pages: 827-829
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Abstract

Primary angiitis of the central nervous system (PACNS) is a rare, but severe vascular disease. The present study reports the case of a 42‑year‑old male who developed PACNS. Magnetic resonance imaging (MRI) scans initially led to a misleading diagnosis of malignant glioma, and surgery was performed. The mass was resected, and a pathological examination confirmed a cerebral vasculitis. Single therapy with high doses of steroid did not improve the patient's condition, while a subsequent lesion appeared on the opposite side one year later. Combined therapy with methylprednisone and cyclophosphamide resulted in a great improvement for the patient. No relapse occurred during one year's follow‑up. Although a tumor‑mimicking PACNS has no established imaging features, a diagnosis of tumor‑mimicking PACNS should be suspected when the MRI reveals inappropriate presentations of a tumor. Greater awareness of this potential manifestation of PACNS may facilitate more prompt diagnosis and treatment.
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May 2016
Volume 4 Issue 5

Print ISSN: 2049-9450
Online ISSN:2049-9469

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APA
Sun, L., Zhu, L., Zhao, T., Wang, D., Ma, D., Zhang, R., & Fang, S. (2016). A rare case of tumor-mimicking primary angiitis of the central nervous system. Molecular and Clinical Oncology, 4, 827-829. https://doi.org/10.3892/mco.2016.784
MLA
Sun, L., Zhu, L., Zhao, T., Wang, D., Ma, D., Zhang, R., Fang, S."A rare case of tumor-mimicking primary angiitis of the central nervous system". Molecular and Clinical Oncology 4.5 (2016): 827-829.
Chicago
Sun, L., Zhu, L., Zhao, T., Wang, D., Ma, D., Zhang, R., Fang, S."A rare case of tumor-mimicking primary angiitis of the central nervous system". Molecular and Clinical Oncology 4, no. 5 (2016): 827-829. https://doi.org/10.3892/mco.2016.784