生殖细胞瘤的罕见表现：一名26岁女性。
Unusual presentation of the germinoma: A 26-year-old female.
作者信息
Davoudi Zahra, Chouhdari Arezoo, Taherkhani Adineh, Bidari Zerehpoosh Farahnaz, Samadian Mohammad
机构信息
Skull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Internal Medicine, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Caspian J Intern Med. 2021;12(Suppl 2):S397-S400. doi: 10.22088/cjim.12.0.397.
BACKGROUND
Germinoma is a rare lesion found commonly in the pineal and suprasellar regions of the brain. Clinical presentation mainly involves the location and size of the tumor and the patient age. Endocrine abnormalities are the most common symptom.
CASE PRESENTATION
The patient was a 26-year-old Iranian female who suffered from germinoma for a long time and was referred to Loghman Hakim Hospital for amenorrhea, polyuria, and polydipsia. Despite diagnostic challenges, she was finally diagnosed with suprasellar germinoma after endoscopic transsphenoidal surgery, followed by radiotherapy and medical interventions to complement the surgery.
CONCLUSION
It is important to be able to diagnose the patient's problem at an early stage based on their history, hormonal profile, laboratory results and radiological view.
背景
生殖细胞瘤是一种罕见病变，常见于脑的松果体区和鞍上区。临床表现主要涉及肿瘤的位置、大小及患者年龄。内分泌异常是最常见症状。
病例介绍
该患者为一名26岁的伊朗女性，长期患有生殖细胞瘤，因闭经、多尿和烦渴被转诊至洛格曼·哈基姆医院。尽管诊断存在挑战，但最终经内镜经蝶窦手术确诊为鞍上生殖细胞瘤，随后进行了放疗及药物干预以辅助手术。
结论
能够根据患者病史、激素水平、实验室检查结果及影像学表现早期诊断患者问题非常重要。
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