A rare manifestation of choriocarcinoma syndrome in a child with primary intracranial germ cell tumor and extracranial metastases: A case report and review of the literature

被引:2
作者
Keenan, Camille [1 ]
Ramirez, Nicole [1 ]
Elijovich, Lucas [2 ]
Klimo, Paul, Jr. [3 ]
Bag, Asim K. [4 ]
Acharya, Sahaja [5 ]
Upadhyaya, Santhosh A. [1 ,6 ]
机构
[1] St Jude Childrens Res Hosp, Dept Oncol, MS 260,262 Danny Thomas Pl, Memphis, TN 38105 USA
[2] Univ Tennessee, Hlth Sci Ctr, Dept Neurol & Neurosurg, Memphis, TN USA
[3] St Jude Childrens Res Hosp, Dept Surg, 332 N Lauderdale St, Memphis, TN 38105 USA
[4] St Jude Childrens Res Hosp, Dept Diagnost Imaging, 332 N Lauderdale St, Memphis, TN 38105 USA
[5] St Jude Childrens Res Hosp, Dept Radiat Oncol, 332 N Lauderdale St, Memphis, TN 38105 USA
[6] Univ Tennessee, Hlth Sci Ctr, Dept Pediat, Memphis, TN USA
基金
美国国家卫生研究院;
关键词
arteriovenous fistula; choriocarcinoma syndrome; metastatic intracranial germ cell tumor; serum beta‐ hCG; MANAGEMENT;
D O I
10.1002/pbc.29000
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Choriocarcinoma syndrome is an uncommon, potentially fatal complication of germ cell tumors (GCTs) in adults, but it is not well documented in children. Pediatric central nervous system (CNS) GCTs comprise a rare group of malignancies not usually associated with extra-CNS metastatic disease. Here, we report the case of a pediatric patient with a suprasellar mixed GCT and pulmonary metastases who presented with intratumoral hemorrhage and stroke. Choriocarcinoma syndrome developed soon after initiating chemotherapy. The primary tumor and pulmonary metastases were successfully treated using a multidisciplinary approach, including neurovascular intervention, chemotherapy, and craniospinal irradiation.
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页数:4
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