An unusual clearance of primary pediatric fibrosarcoma of the right parietal lobe after surgery and radiation therapy

We present a case of a 5-year-old girl with tics of the limbs and foaming at the mouth. Radiographic imaging and pathological results indicated a 2 cm x 2 cm x 2 cm primary fibrosarcoma. Intracranial microsurgery and postoperative radiotherapy were performed. Magnetic resonance images showed no local recurrence 3 years after treatment. The girl was clinically cleared and without reported symptoms. The overall outcome of this rare disease is poor, increased awareness may lead to an earlier diagnosis, at which stage neurological damage are reversible and more effective palliation may be achieved. Recognition and diagnosis both takes roles in therapeutic prognosis and preoperative counseling. Postoperative radiotherapy may be beneficial for young patients.