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Journal of Korean Neurosurgical Society 2001;30(6): 786-789.
Alveolar Soft Part Sarcoma Metastatic to the Brain.
Jin Hwan Cheong, Choong Hyun Kim, Koang Hum Bak, Jae Min Kim, Suck Jun Oh
Department of Neurosurgery , Hanyang University Kuri Hospital, Kuri, Korea.
ABSTRACT
Alveolar Soft Part Sarcoma(ASPS) is a rare entity that invariably ends in death from the disseminated disease. Although the most common site of metastasis is the lung, the central nervous system is also the third common site. Its histogenesis remains to be unknown and the gold standard treatment is radically surgical removal of the mass. However, adjuvant chemotherapy and radiotherapy are known to be less effective. The authors present a 24-year-old man who was admitted with headache and neck discomfort. Magnetic resonance(MR) imaging scans demonstrated multiple masses in the left frontal lobe, parietal lobe, and right cerebellum. The patient underwent surgery to remove multiple masses in the staged fashion. The postoperative course was uneventful, but the patient committed suicide 5 months later. The authors reviewed the pertinent literature and discussed this clinical entity with references.
Key Words: Alveolar Soft Part Sarcoma; Metastasis; Brain; Radical removal
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