Cerebellopontine angle SHH-activated embryonal tumor without interaction
from the cerebellum in Cowden syndrome: A case report
Abstract
Among intracranial embryonal tumors, genetic/epigenetic analysis can
help unveil the molecular background. Herein, we report a case of a
cerebellar pontine angular embryonic tumor complicated by Cowden
syndrome in an infant. The tumor radiologically lacked evidence of
interaction with the cerebellum and appeared to show continuity with the
pons. Pathological appearance was similar to that of a medulloblastoma
with extensive nodularity. DNA methylation analysis indicated that the
tumor was a “medulloblastoma, sonic hedgehog-activated” with a
substantial confidence. Although the diagnosis deviated from the
definition of medulloblastoma, clinical, pathological and molecular data
suggested that it was an “ectopic” medulloblastoma.