Neurohypophyseal germinoma histologically misidentified as granulomatous hypophysitis

被引：28

作者：

Endo, T ^{[1
]}

Kumabe, T ^{[1
]}

Ikeda, H ^{[1
]}

Shirane, R ^{[1
]}

Yoshimoto, T ^{[1
]}

机构：

[1] Tohoku Univ, Dept Neurosurg, Grad Sch Med, Aoba Ku, Sendai, Miyagi 9808574, Japan

来源：

ACTA NEUROCHIRURGICA | 2002年 / 144卷 / 11期

关键词：

germinoma; granulomatous reaction; granulomatous hypophysitis; neurohypophysis;

D O I：

10.1007/s00701-002-1027-1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a case of neurohypophyseal germinoma appearing as predominantly granulomatous reaction in the first histological examination. A 12-year-old boy presented with diabetes insipidus, panhypopituitarism, and bitemporal hemianopsia. Transsphenoidal exploration for the intrasellar mass lesion extending to the suprasellar region was performed in May 1999. Histological examination revealed granulomatous hypophysitis and corticosteroid therapy was initiated. Six months later, the lesion relapsed despite corticosteroid therapy. Subtotal removal of the lesion was performed via an anterior interhemispheric approach in December 1999. Histological examination revealed typical germinoma. Subsequently, the patient underwent irradiation of 20 Gy to the tumour site and 24 Gy to the whole brain. Magnetic resonance imaging confirmed tumour remission. We must consider the possibility of neurohypophyseal germinoma in patients with granulomatous hypophysitis which does not respond to corticosteroid therapy, and perform re-exploration for more specimens to achieve the correct diagnosis.

引用

页码：1233 / 1237

页数：5

共 11 条

[1] INTRACRANIAL GERM-CELL TUMORS - PATHOBIOLOGICAL AND IMMUNOHISTOCHEMICAL ASPECTS OF 70 CASES [J].