A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review

Background. Primary peritoneal ependymoma is an exceedingly rare tumour with only four cases reported in the literature. It typically follows an indolent disease course. We describe a rare case of metastatic primary peritoneal ependymoma which was treated with chemotherapy and radiotherapy resulting...

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Main Authors: Ben Man Fei Cheung, Johnny Kin Sang Lau, Anthony W. I. Lo, Mai-Yee Luk, Kwok Keung Yuen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2020/9805847
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author Ben Man Fei Cheung
Johnny Kin Sang Lau
Anthony W. I. Lo
Mai-Yee Luk
Kwok Keung Yuen
author_facet Ben Man Fei Cheung
Johnny Kin Sang Lau
Anthony W. I. Lo
Mai-Yee Luk
Kwok Keung Yuen
author_sort Ben Man Fei Cheung
collection DOAJ
description Background. Primary peritoneal ependymoma is an exceedingly rare tumour with only four cases reported in the literature. It typically follows an indolent disease course. We describe a rare case of metastatic primary peritoneal ependymoma which was treated with chemotherapy and radiotherapy resulting in prolonged survival to date for 10 years. Case Presentation. The patient was a 23-year-old female on presentation. She presented with right upper quadrant pain associated with an abdominal mass. Computed tomography demonstrated a large mass displacing the liver. Debulking surgery was done revealing a tumour arising from the peritoneum as well as multiple metastatic pleural and peritoneal nodules. Pathology was consistent with primary peritoneal ependymoma. The patient was then treated with multiple lines of chemotherapy containing etoposide as the backbone. She also received palliative radiotherapy to the thoracic metastases with good and durable response. Conclusion. We reported a rare case of metastatic primary peritoneal ependymoma. Etoposide containing the chemotherapy regimen is effective in the treatment of peritoneal ependymoma. Radiotherapy is also effective for palliation of local symptoms with durable response.
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spelling doaj-art-401d523fa1204c5d99d4050a61d393792025-02-03T06:43:59ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/98058479805847A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature ReviewBen Man Fei Cheung0Johnny Kin Sang Lau1Anthony W. I. Lo2Mai-Yee Luk3Kwok Keung Yuen4Department of Clinical Oncology, Queen Mary Hospital, Hong KongDepartment of Clinical Oncology, Queen Mary Hospital, Hong KongAnatomical Pathology Division, Queen Mary Hospital, Hong KongDepartment of Clinical Oncology, Queen Mary Hospital, Hong KongDepartment of Clinical Oncology, Queen Mary Hospital, Hong KongBackground. Primary peritoneal ependymoma is an exceedingly rare tumour with only four cases reported in the literature. It typically follows an indolent disease course. We describe a rare case of metastatic primary peritoneal ependymoma which was treated with chemotherapy and radiotherapy resulting in prolonged survival to date for 10 years. Case Presentation. The patient was a 23-year-old female on presentation. She presented with right upper quadrant pain associated with an abdominal mass. Computed tomography demonstrated a large mass displacing the liver. Debulking surgery was done revealing a tumour arising from the peritoneum as well as multiple metastatic pleural and peritoneal nodules. Pathology was consistent with primary peritoneal ependymoma. The patient was then treated with multiple lines of chemotherapy containing etoposide as the backbone. She also received palliative radiotherapy to the thoracic metastases with good and durable response. Conclusion. We reported a rare case of metastatic primary peritoneal ependymoma. Etoposide containing the chemotherapy regimen is effective in the treatment of peritoneal ependymoma. Radiotherapy is also effective for palliation of local symptoms with durable response.http://dx.doi.org/10.1155/2020/9805847
spellingShingle Ben Man Fei Cheung
Johnny Kin Sang Lau
Anthony W. I. Lo
Mai-Yee Luk
Kwok Keung Yuen
A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
Case Reports in Oncological Medicine
title A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
title_full A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
title_fullStr A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
title_full_unstemmed A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
title_short A Rare Case of Metastatic Primary Peritoneal Ependymoma: A Case Report and Literature Review
title_sort rare case of metastatic primary peritoneal ependymoma a case report and literature review
url http://dx.doi.org/10.1155/2020/9805847
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