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obsolete secondary malignant neoplasm to the nervous system

ICD-10 Codes

Related ICD-10:

Description

Based on the provided context, it appears that there are several terms and concepts related to secondary malignant neoplasms in the nervous system.

  • Hemangiopericytoma: This term is now considered obsolete, and the preferred term "solitary fibrous tumor" is used to correspond to extracranial solitary, fibrous tumors (1). Solitary, fibrous tumors are the most common nonmeningothelial mesenchymal neoplasm and share the common molecular feature of NAB2-STAT6 gene fusions.
  • Solitary fibrous tumor: This is a type of tumor that shares the common molecular feature of NAB2-STAT6 gene fusions (1). It is considered to be the most common nonmeningothelial mesenchymal neoplasm.
  • Leptomeningeal involvement: This refers to a diffuse fibrotic thickening of the meninges associated with variable degrees of inflammation (3).

It's worth noting that these terms and concepts are related to primary tumors in the nervous system, rather than secondary malignant neoplasms.

However, based on the provided context, it appears that there is limited information available on obsolete secondary malignant neoplasms to the nervous system. The only relevant mention is in point 12 of the context, which refers to "Evidence of secondary malignant neoplasm of other parts of nervous system" (12). However, this does not provide any specific information on obsolete terms or concepts related to this topic.

Therefore, I would say that there is limited relevant information available on this topic. If you have any further questions or would like me to search again, please let me know!

References: (1) The term hemangiopericytoma is now considered obsolete... (3) ...a diffuse fibrotic thickening of the MENINGES associated with variable degrees of inflammation. (12) Evidence of secondary malignant neoplasm of other parts of nervous system.

Signs and Symptoms

Based on the provided context, it appears that there are several articles related to cancer and its effects on the nervous system. Here's a summary of the signs and symptoms of obsolete secondary malignant neoplasm to the nervous system:

Paraneoplastic Neurologic Syndromes (PNSs): According to search result [3], PNSs are remote effects of cancer with an immune-mediated pathogenesis. The diagnosis of PNS can be difficult and requires a high index of suspicion.

Signs and Symptoms: Some common signs and symptoms of obsolete secondary malignant neoplasm to the nervous system include:

  • Spinal cord compression, which is counted among the classical cancer-related emergencies [2]
  • Permanent neurological deficits if not treated quickly
  • Malignant melanotic nerve sheath tumor, which can cause signs of malignancy [5]
  • Leptomeningeal metastases, which involve the spread of cancer cells to the meninges surrounding the brain and spinal cord [7]
  • Vertebral metastases, which are very frequent among patients with cancer and can lead to metastatic spinal cord compression in up to 20% of patients [10]

Other Symptoms: Additionally, other symptoms that may be associated with obsolete secondary malignant neoplasm to the nervous system include:

  • Weakness or paralysis of the face, arm, or leg
  • Difficulty speaking or swallowing
  • Bladder and bowel dysfunction
  • Seizures or changes in mental status

It's essential to note that these symptoms can also be caused by other conditions, and a proper diagnosis should only be made by a qualified healthcare professional.

References: [1] Esperança-Martins et al. (2023) [2] Esperança-Martins et al. (2023) [3] Graus et al. (2021) [5] Louis et al. (2021) [7] Kurdi et al. (2023) [10] Esperança-Martins et al. (2023)

Additional Symptoms

  • Spinal cord compression
  • Weakness or paralysis of the face, arm, or leg
  • Bladder and bowel dysfunction
  • Difficulty speaking or swallowing
  • Permanent neurological deficits
  • Malignant melanotic nerve sheath tumor
  • Leptomeningeal metastases
  • Vertebral metastases
  • Seizures or changes in mental status

Diagnostic Tests

Based on the provided context, it appears that there are several diagnostic tests and methods used for diagnosing secondary malignant neoplasms (cancers) of the central nervous system (CNS). Here's a summary of the relevant information:

  • Imaging techniques: While 123I-IMP SPECT has become obsolete as a tumor-imaging method, it can still be useful in diagnosing CNS malignant lymphoma [1].
  • FDG PET scans: Screening for cerebral metastases with FDG PET in patients undergoing whole-body staging of non-central nervous system malignancy is a relevant diagnostic tool [6].
  • Molecular testing: Next-generation sequencing (NGS) gene panels and methylation profiling are useful methods for molecular characterizing of CNS tumors, which can provide the rationale for targeted therapy [12].

It's worth noting that the World Health Organization (WHO) classification of CNS tumors has undergone substantial updates in recent years, including changes to tumor diagnosis methods, nomenclature, and grading [2]. However, specific diagnostic tests for obsolete secondary malignant neoplasms of the CNS are not explicitly mentioned.

References:

[1] C Kitanaka · 1992 · Cited by 9 [6] Screening for cerebral metastases with FDG PET in patients undergoing whole-body staging of non-central nervous system malignancy. Radiology. 2003;226(1):181-... [12] Several methods are used in molecular testing; however, WHO CNS5 does not recommend any specific methods [].In molecular characterising of CNS tumours, next generation sequencing (NGS) gene panels for brain tumours and methylation profiling have become very useful and efficient [22, 39].

Treatment

Treatment Options for Secondary Malignant Neoplasms in the Nervous System

Secondary malignant neoplasms (SMNs) in the nervous system are a serious condition that requires prompt and effective treatment. While there is no cure, various drug treatments can help manage symptoms, slow disease progression, and improve quality of life.

Chemotherapy

Recommended Medications

  • Chemotherapy

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

The differential diagnosis of secondary malignant neoplasms (SMNs) to the nervous system involves a thorough evaluation of various factors, including the patient's medical history, symptoms, and imaging studies. Here are some key points to consider:

  • Primary malignancies associated with SMNs: Certain primary cancers, such as lymphoma, retinoblastoma, medulloblastoma, neuroblastoma, and leukemia, have a higher risk of developing secondary malignant neoplasms in the nervous system [15].
  • Common SMNs in the CNS: The most common secondary malignant neoplasms in the central nervous system (CNS) are gliomas, meningiomas, and lymphomas [8, 14]. These tumors can arise from various cell types within the CNS, including glial cells, meningeal cells, and lymphoid cells.
  • Differential diagnosis: The differential diagnosis of SMNs in the CNS includes:
    • Primary brain tumors (e.g., glioblastoma, meningioma)
    • Metastatic tumors from other primary sites (e.g., breast cancer, lung cancer)
    • Lymphomas
    • Leukemias
    • Sarcomas
  • Imaging characteristics: Imaging studies, such as MRI and CT scans, can help differentiate between these entities. For example:
    • Gliomas typically show contrast enhancement and edema on imaging [9].
    • Meningiomas often appear as extra-axial masses with calcifications and dural tail sign [3].
    • Lymphomas may present as diffuse or focal lesions within the CNS, with or without contrast enhancement [8].

To establish a diagnosis of secondary malignant neoplasm to the nervous system, it is essential to consider the patient's medical history, including any previous cancers or treatments. A thorough evaluation of imaging studies and histopathological examination of tissue samples can also provide valuable information for differential diagnosis.

References:

[3] by JB Guerin · 2023 · Cited by 3 — Meningioma Tumors. [8] by A Pons-Escoda · 2023 · Cited by 23 — Lymphomas of the CNS are the second most frequent primary brain malignancy in adults after gliomas, accounting for 7% of all malignant tumors. [9] by DR Johnson · 2022 · Cited by 29 — Infant-type hemispheric glioma: A review of the literature and imaging characteristics. [14] The fifth edition of the World Health Organization (WHO) classification of tumors of the central nervous system, published in 2021, contains substantial updates in the classification of tumor types. Many of these changes are relevant to radiologists, including “big picture” changes to tumor diagnosis methods, nomenclature, and grading, which apply broadly to many or all central nervous ... [15] Therapeutic advances in the treatment of pediatric neoplasms have improved the prognosis but have also increased the risk of developing rare second malignant neoplasms (SMNs). Primary neoplasms that are often associated with SMNs include lymphoma, retinoblastoma, medulloblastoma, neuroblastoma, and leukemia. The most common SMNs are central nervous system (CNS) tumors, sarcomas, thyroid and ...

Additional Information

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