Central neurocytoma, shown in this T1 image, has what characteristic appearance on T2-FS? What is the prognosis of this usually benign neuroepithelial tumor after appropriate treatment?
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What a difficult problem! I haven't read the case report, but this must be the primary xray at initial presentation. Management will surely include wide local excision of the whole distal radius and possibly even proximal row, if there is any suspicion of extra-radius extension. Either a fresh frozen radius graft or other to reconstruct. Alternative must surely be a fusion. If post excision local radiotherapy is contemplated, then any bone graft will not take. It'll have to be a free double/triple barrelled fibula! Good case. Local recurrence and distal spread is always a worry with these aggressive 'benign' tumours. Would love to know others thoughts on this rare complex problem!
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Criminal science and Forensic medicine senior consultant
4moCentral neurocytomas are usually T1 isointense, with variable intensity on T2 and a heterogeneous enhancement pattern and globular calcifications imparting the classic “soap-bubble” appearing lateral ventricular lesion. CNs are typically benign tumors amenable to surgical resection with low rates of local recurrence. The five-year survival for CN after GTR has been as high as 99% in some studies with the five-year survival for CN only achieving STR being 86%.