Intramedullary Clear Cell Ependymoma in the Cervical Spinal Cord: Case Report

Abstract

Histological diagnosis was crucial to our determining whether to perform postoperative adjuvant therapy in this patient. Neurosurgeons should be aware of the possibility of this histological entity among intramedullary spinal cord tumors.

Spinal ependymomas: Benefits of extent of resection for different histological grades

“…15,18,25,36,40-78 The mean age was 39.5 years with a range of 18 to 81. There was a significant difference in the mean age across tumor grades ( p = 0.025) with the youngest age in the grade III (34.31 ± 3.85) and the oldest age in grade II (41.91 ± 1.33) groups (Table 1).…”

“…We identified 43 articles with total of 175 patients who met the criteria. 15,18,25,36,40-78 Aggregated data sets, where individual patient data were grouped, were not included in this analysis.…”

Cervical Ependymoma:Case Report and Review of the Literature

“…Histological diagnosis is crucial to consideration of postoperative adjuvant therapy for intramedullary tumours of the spinal cord. In most patients with ependymoma of the spinal cord, the tumour can be totally removed, and postoperative adjuvant therapy is not required after complete resection (Akutsu et al, 2000). On the basis of the histological diagnosis in our patient, gross total removal was accomplished and postoperative radiation therapy was not administered.…”

Differentiation of Clear Cell Ependymoma of the Cerebellum From Hemangioblastoma by Thallium-201 Single Photon Emission Computed Tomography -Case Report-

“…[1][2][3][4][5][7][8][9][10][11][12][13][14][16][17][18][19][20][23][24][25][26][27][28] CCE seems to have a predilection for the supratentorial region (supratentorial, 42; infratentorial, 16; spinal, 4) in contrast to the classical subtypes of ependymomas. The recurrence rate of CCE in all locations was about 60% during the follow-up period, [1][2][3][4][5][7][8][9][10][11][12][13][14][16][17][18][19][20][23][24][25][26][27][28] which is higher than other subtypes of ependymoma. 15) The clinical course of CCE was the worst among benign ependymomas, with a significantly higher expression of M...…”