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一例罕见的原发性颅内生殖细胞瘤伴弥漫性蛛网膜下腔播散，伪装成结核性脑膜炎。

An Unusual Case of Primary Intracranial Germinoma with Diffuse Subarachnoid Spread Masquerading as Tuberculous Meningitis.

作者信息

Sharma Amit Kumar, Jagetia Anita, Srivastava Arvind Kumar, Saran Ravindra Kumar

机构信息

Department of Neurosurgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.

Department of Pathology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.

出版信息

Asian J Neurosurg. 2020 Oct 19;15(4):1027-1030. doi: 10.4103/ajns.AJNS_174_20. eCollection 2020 Oct-Dec.

DOI:10.4103/ajns.AJNS_174_20
PMID:33708683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7869262/
Abstract

Central nervous system (CNS) germinomas often extend or disseminate into the ventricular and subarachnoid space. We present a case of primary CNS germinoma consisting mainly of meningeal dissemination, which is extremely unusual and must be kept in the differential diagnosis.

摘要

中枢神经系统（CNS）生殖细胞瘤常扩展或播散至脑室和蛛网膜下腔。我们报告一例主要以脑膜播散为主的原发性中枢神经系统生殖细胞瘤病例，这种情况极为罕见，在鉴别诊断时必须予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/a2896f07059c/AJNS-15-1027-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/dcee7e67ed3c/AJNS-15-1027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/7bb8e6322f41/AJNS-15-1027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/e7801af4fbf7/AJNS-15-1027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/96f3b1c523bc/AJNS-15-1027-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/a2896f07059c/AJNS-15-1027-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/dcee7e67ed3c/AJNS-15-1027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/7bb8e6322f41/AJNS-15-1027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/e7801af4fbf7/AJNS-15-1027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/96f3b1c523bc/AJNS-15-1027-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0603/7869262/a2896f07059c/AJNS-15-1027-g005.jpg

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本文引用的文献

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Navigation-guided endoscopic biopsy for pathological diagnosis for intraparenchymal pure germinoma near the ventricular trigone.导航引导下内镜活检用于脑室三角区附近脑实质内纯生殖细胞瘤的病理诊断。
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Intracranial germinoma as a very rare cause of panhypopituitarism in a 23-year old man.颅内生殖细胞瘤是一名23岁男性全垂体功能减退症的极为罕见病因。
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J Neurosurg. 1985 Aug;63(2):155-67. doi: 10.3171/jns.1985.63.2.0155.