Late spinal metastases from an isolated pineal region germinoma mimicking a schwannoma

被引:9
作者
Morrison, Alan L. [1 ,2 ]
Smith, Alice B. [3 ]
Benjamin, Vallo [4 ]
Allen, Jeffrey C. [5 ]
Rushing, Elisabeth J. [1 ,2 ]
机构
[1] Armed Forces Inst Pathol, Dept Neuropathol, Washington, DC 20306 USA
[2] Armed Forces Inst Pathol, Dept Ophthalm Pathol, Washington, DC 20306 USA
[3] Uniformed Serv Univ Hlth Sci, Dept Radiol & Radiol Sci, Bethesda, MD 20814 USA
[4] NYU, Dept Neurosurg, Med Ctr, New York, NY 10016 USA
[5] NYU, Med Ctr, Dept Pediat, New York, NY 10016 USA
关键词
Germinoma; Metastatic; Schwannoma; Spinal cord; GERM-CELL TUMORS; CORD GERMINOMA;
D O I
10.1016/j.jocn.2010.11.030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 20-year-old male with a prior history of germinoma presented 8 years after the initial diagnosis with progressive lower back pain. The preoperative diagnosis was schwannoma based on the appearances of a tumor in the lumbosacral region on MRI; however, histologically, a germinoma "drop" metastasis was seen. This report emphasizes the need for long-term follow-up in patients with germinoma. In addition, this patient is unusual in that the preoperative assessment favored schwannoma. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1126 / 1127
页数:2
相关论文
共 11 条
[1]   Intramedullary spinal cord germinoma - 2 case reports [J].
Aoyama, Takeshi ;
Hida, Kazutoshi ;
Ishii, Nobuaki ;
Seki, Toshitaka ;
Ikeda, Jun ;
Iwasaki, Yoshinobu .
SURGICAL NEUROLOGY, 2007, 67 (02) :177-183
[2]   SPINAL SEEDING IN CRANIAL GERMINOMA [J].
BRADA, M ;
RAJAN, B .
BRITISH JOURNAL OF CANCER, 1990, 61 (02) :339-340
[3]   Primary intramedullary spinal cord germinoma: case report [J].
Chute, DJ ;
Burton, EC ;
Klement, IA ;
Frazee, JG ;
Vinters, HV .
JOURNAL OF NEURO-ONCOLOGY, 2003, 63 (01) :69-73
[4]   INTRACRANIAL GERM-CELL TUMORS - NATURAL-HISTORY AND PATHOGENESIS [J].
JENNINGS, MT ;
GELMAN, R ;
HOCHBERG, F .
JOURNAL OF NEUROSURGERY, 1985, 63 (02) :155-167
[5]   Metastatic spinal intramedullary germinoma with elevated cerebrospinal fluid chorionic gonadotropin: a case report [J].
Kuba, H ;
Inamura, T ;
Nishio, S ;
Fukui, M .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2000, 102 (01) :44-47
[6]  
Richter HP, 2004, NEUROSURGERY, V54, P408
[7]   Germ cell tumours of the central nervous system: Treatment consideration based on 111 cases and their long-term clinical outcomes [J].
Sawamura, Y ;
Ikeda, J ;
Shirato, H ;
Tada, M ;
Abe, H .
EUROPEAN JOURNAL OF CANCER, 1998, 34 (01) :104-110
[8]   SPINAL METASTASIS FROM OCCULT INTRACRANIAL GERMINOMA MIMICKING PRIMARY INTRAMEDULLARY TUMOR [J].
SHIBAMOTO, Y ;
ASATO, R ;
ABE, M .
NEURORADIOLOGY, 1994, 36 (02) :137-138
[9]  
SLAGEL DD, 1995, ACTA NEUROPATHOL, V90, P657
[10]   Aggressive spinal germinoma with ascending metastases [J].
Tekkök, IH ;
Sav, A .
JOURNAL OF NEURO-ONCOLOGY, 2005, 75 (02) :135-141