Abstract
Teratocarcinosarcoma (TCS), an aggressive and extremely rare neoplasm, usually presents
as a nasal or paranasal mass. TCS can have intracranial or dural extension from a
nasal mass. We found only two instances in the literature that described this lesion
as primarily manifesting as an intracranial mass while arising from a primary nasal
focus. We describe a patient who had a predominantly frontal-lobe TCS without any
symptoms of a primary nasal mass. The gross surgical appearance was a glistening,
slimy, firm white mucoid lesion, in contrast to the friable, necrotic and tan-colored
lesion usually described. We report a patient with a rare intracranial TCS, and focus
on the differential diagnoses of intracranial tumors. Neuropathologists and neurosurgeons
should be aware of this mode of presentation for an accurate diagnosis and a well-targeted
therapeutic approach.
Keywords
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Article info
Publication history
Accepted:
March 9,
2010
Received:
February 6,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
