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Journal of Korean Neurosurgical Society 2003;33(5): 514-516.
Dysplastic Gangliocytoma of Cerebellum(Lhermitte-Duclos Disease): Relation to Cowden Disease.
Chan Young Choi, Keum Cheul Whang, Choong Jin Whang, Sung Hye Park
1Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea. cychoi@ilsanpaik.ac.kr
2Department of Pathology, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.
ABSTRACT
We report a case of dysplastic gangliocytoma of the cerebellum(Lhermitte-Duclos disease) that can cause progressive mass effect in the posterior fossa. Cowden disease is a rare autosomal dominant disorder characterized by mucocutaneous hamartoma and high incidences of systemic malignancies. The patient had no mucocutaneous lesions indicating Cowden disease. With recent advances in molecular genetics, the association between Lhermitte-Duclos disease and Cowden disease has been recognized, it is considered that Cowden disease is a new phakomatosis. Recognition of this association has direct clinical relevance and long term follow up may lead to the early detection of malignancy.
Key Words: Dysplastic gangliocytoma of cerebellum; Cowden disease; Phakomatosis
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