Pawar S, Borde C, Patil A, Nagarkar R. Malignant epidermoid arising from the third ventricle: A case report. World J Radiol 2019; 11(5): 74-80 [PMID: 31205602 DOI: 10.4329/wjr.v11.i5.74]
Corresponding Author of This Article
Samadhan Pawar, MD, Doctor, Consultant Radiologist, Department of Radiodiagnosis, HCG Manavata Cancer Centre, Off Nashik Expresswa, Near Mylan Circle, Nashik 422011, Maharashtra, India. academics@manavatacancercentre.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Samadhan Pawar, Chaitanya Borde, Atul Patil, Rajnish Nagarkar, Department of Radiodiagnosis, HCG Manavata Cancer Centre, Nashik 422011, Maharashtra, India
Author contributions: All authors contributed to this paper.
Informed consent statement: Written signed informed consent was obtained from the patient.
Conflict-of-interest statement: All authors have no conflicts of interest to report.
CARE Checklist (2016) statement: Guidelines of the CARE Checklist (2016) have been adopted while writing this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Samadhan Pawar, MD, Doctor, Consultant Radiologist, Department of Radiodiagnosis, HCG Manavata Cancer Centre, Off Nashik Expresswa, Near Mylan Circle, Nashik 422011, Maharashtra, India. academics@manavatacancercentre.com
Telephone: +91-98-19021567
Received: February 20, 2019 Peer-review started: February 22, 2019 First decision: March 14, 2019 Revised: April 4, 2019 Accepted: May 14, 2019 Article in press: May 15, 2019 Published online: May 28, 2019
Abstract
BACKGROUND
Third epidermoid tumors are a rare finding. The appearance of these tumors often makes them difficult to diagnose, and thus they require multimodality imaging.
CASE SUMMARY
A 48-year-old male patient reported to our hospital with complaints of vomiting and severe headache. The patient also complained of involuntary micturition for the past five days. We used a combination of computed tomography (CT) and magnetic resonance imaging (MRI) imaging modalities to confirm the presence of a malignant epidermoid cyst arising from the third ventricle. A contrast-enhanced CT of the head demonstrated minimal perilesional enhancement while an MRI revealed a large, lobulated and septated T2 hyperintense mass arising from the third ventricle. The maximum size of the lesion measured 73 mm × 65 mm × 64 mm in size.
CONCLUSION
Malignant epidermoid arising from the third ventricle in an adult male was reported using a combination of CT, MRI, and MR spectroscopy.
Core tip: The use of multi-modality imaging can help radiologist diagnose uncommon tumors in unusual sites. The combination of computed tomography, magnetic resonance imaging, and MR spectroscopy was useful in confirming the diagnosis of malignant epidermoid arising from the third ventricle, an unusual site in routine practice.
