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颅内多发生殖细胞肿瘤:一例报告并文献复习

Intracranial multiple germ cell tumors: a case report and review of literature.

作者信息

Yang Ping, Li Liang, Kuang Weiping, Li Bo, Zhou Bin, Yang Jingjing, Huang Huiyong

机构信息

Department of 3rd Neurosurgery, Brains Hospital of Hunan Province Changsha, China.

Institute of Diagnostics of Traditional Chinese Medicine, Hunan University of Chinese Medicine Changsha, China ; Department of Anatomy, Hunan University of Chinese Medicine Changsha, China.

出版信息

Int J Clin Exp Pathol. 2014 Dec 1;7(12):9002-7. eCollection 2014.

PMID:25674279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4314009/
Abstract

Intracranial multiple germ cell tumors (GCTs) are rare. In this article, we reported a case of intracranial multiple GCTs in an 18-year-old boy with symptoms of psychosis for 8 months also. Tumors in the pineal, sellar region, corpus callosum, bilateral lateral ventricles and fourth ventricle were confirmed by enhanced magnetic resonance imaging (MRI) and stereotactic biopsy. Immunohistochemical analysis results demonstrated that the tumor cells were positive for CD117 and placental alkaline phosphatase (PLAP). The patient was treated by radiotherapy and the prescribed radiation doses were 18 Gy. After near 24 months of follow-up, no local recurrence and distant metastasis has been found.

摘要

颅内多发性生殖细胞肿瘤(GCTs)较为罕见。在本文中,我们报告了一例18岁男孩患有颅内多发性GCTs的病例,该男孩同时伴有8个月的精神病症状。通过增强磁共振成像(MRI)和立体定向活检确诊松果体区、鞍区、胼胝体、双侧侧脑室和第四脑室内存在肿瘤。免疫组织化学分析结果显示肿瘤细胞CD117和胎盘碱性磷酸酶(PLAP)呈阳性。该患者接受了放射治疗,规定的放射剂量为18 Gy。经过近24个月的随访,未发现局部复发和远处转移。

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Clinical analysis of intracranial germinoma's craniospinal irradiation using helical tomotherapy.颅内生殖细胞瘤全脑全脊髓照射的螺旋断层放疗临床分析。
Chin J Cancer Res. 2014 Jun;26(3):247-54. doi: 10.3978/j.issn.1000-9604.2014.05.02.
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Primary human chorionic gonadotropin secreting germinoma of the corpus callosum.
Surg Neurol Int. 2013 Oct 8;4:137. doi: 10.4103/2152-7806.119537. eCollection 2013.
3
Metastasis germinomas of the external acoustic meatus: in a 19-year-boy: a case report.外耳道转移性生殖细胞瘤:19岁男性病例报告
Int J Clin Exp Pathol. 2013 Jun 15;6(7):1416-21. Print 2013.
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Primary intracranial germ cell tumors.原发性颅内生殖细胞肿瘤
Asian J Neurosurg. 2012 Oct;7(4):197-202. doi: 10.4103/1793-5482.106652.
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[Multiple intracranial lesions: a clinicalpathologic study of 62 cases].[颅内多发病变:62例临床病理研究]
Zhonghua Bing Li Xue Za Zhi. 2011 Sep;40(9):599-603.
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Titanium screws as fiducial markers for image-guided stereotactic proton irradiation in pediatric central nervous system tumors: a technical report.
Pediatr Neurosurg. 2010;46(3):227-31. doi: 10.1159/000320147. Epub 2010 Nov 4.
7
Descriptive epidemiology of central nervous system germ cell tumors: nonpineal analysis.中枢神经系统生殖细胞肿瘤的描述性流行病学:松果体外分析。
Neuro Oncol. 2010 Mar;12(3):257-64. doi: 10.1093/neuonc/nop029. Epub 2009 Dec 21.
8
Targeting optimal biopsy location in basal ganglia germinoma using (11)C-methionine positron emission tomography.使用(11)C-蛋氨酸正电子发射断层扫描技术确定基底节生殖细胞瘤的最佳活检部位
Surg Neurol. 2008 Oct;70(4):408-13; discussion 413. doi: 10.1016/j.surneu.2007.04.010. Epub 2008 Mar 4.
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Radiological features of germinoma arising from atypical locations.
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