Mixed Germ Cell Tumor with Extensive Yolk Sac Tumor Elements in the Frontal Lobe of an Adult

被引:4
作者
Takahashi, Toshihide [1 ]
Ishikawa, Eiichi [1 ]
Masuda, Yosuke [1 ]
Yamamoto, Tetsuya [1 ]
Sato, Taiki [2 ]
Shibuya, Makoto [3 ]
Matsumura, Akira [1 ]
机构
[1] Univ Tsukuba, Fac Med, Dept Neurosurg, Tsukuba, Ibaraki 3058575, Japan
[2] Univ Tsukuba, Fac Med, Dept Pathol, Tsukuba, Ibaraki 3058575, Japan
[3] Tokyo Med Univ, Ibaraki Med Ctr, Dept Pathol, Ami, Ibaraki 3000395, Japan
关键词
D O I
10.1155/2012/473790
中图分类号
R61 [外科手术学];
学科分类号
摘要
Intracranial nongerminomatous germ cell tumors (NGGCTs) in unusual locations are extremely rare. Here, we report a case of a yolk sac tumor in the frontal lobe in a middle-aged patient. A 42-year-old man was admitted to our hospital for headache and nausea. Magnetic resonance imaging (MRI) showed an enhanced mass lesion with a marked cyst component. The serum alpha-fetoprotein (alpha FP) level was extremely high. Histological examination of specimens after subtotal removal revealed a primary mixed germ cell tumor with extensive yolk sac tumor elements, often referred to as an intracranial "yolk sac tumor." The preoperative diagnosis of NGGCTs in unusual age and locations is extremely difficult. Clinicians should consider the possibility of NGGCTs, including yolk sac tumors, when intracranial tumors with unusual MRI findings are encountered.
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