Kim Jae Min, Cheong Jin Hwan, Yi Hyeong Joong, Bak Koang Hum, Kim Choong Hyun, Oh Suck Jun
Department of Neurosurgery, Hanyang University Kuri Hospital, College of Medicine, Seoul, Korea.
J Korean Med Sci. 2002 Apr;17(2):287-91. doi: 10.3346/jkms.2002.17.2.287.
A rare case of intraventricular germinoma in the third ventricle, which occurred 30 months after total removal of mature teratoma on the same location in a 29- yr-old man is presented. Recurrence is supposed to represent an acceleration of localized dysplastic processes of totipotent germ cells present in the midline neuraxis or a growth of unidentified microscopic residue of germinoma component in mature teratoma. Although the radiation therapy after total removal of mature teratoma is still controversial, careful follow-up is warranted for evaluating a possible recurrence of other germ cell tumors.
本文报告了一例罕见的第三脑室内生殖细胞瘤病例,该病例发生在一名29岁男性同一部位的成熟畸胎瘤完全切除30个月后。复发被认为是中线神经轴中存在的全能生殖细胞局部发育异常过程的加速,或者是成熟畸胎瘤中生殖细胞瘤成分未识别的微小残留物的生长。尽管成熟畸胎瘤完全切除后的放射治疗仍存在争议,但仍需仔细随访以评估其他生殖细胞肿瘤可能的复发情况。