Hsieh Chi-Chih, Chen Jui-Sheng
Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Int Med Case Rep J. 2022 Jun 18;15:307-311. doi: 10.2147/IMCRJ.S367293. eCollection 2022.
Tumors in the pineal region usually present with acute hydrocephalus. Histologic diagnosis is most important, as it greatly influences treatment, because over 17 tumor types occur in this area. Biopsies of these lesions play an important role in further management. are benign and rare tumors that typically exhibit a slow progression. However, the appropriate treatment for pineocytoma varies. Surgical excision was considered for good long-term outcomes; however, this may not always be possible. Radiotherapy also appears to be effective in patients with residual pineocytomas. We report a case of pineocytoma with hemorrhagic transformation and complicated hydrocephalus. The patient refused to undergo aggressive tumor excision. Thus, the patient only underwent endoscopic biopsy and external ventricular drain (EVD) implantation, but the outcome was acceptable. In addition, we reviewed the current management strategies for pineocytomas in the literature.
松果体区肿瘤通常表现为急性脑积水。组织学诊断最为重要，因为它对治疗有很大影响，该区域可发生超过17种肿瘤类型。这些病变的活检在进一步治疗中起着重要作用。松果体细胞瘤是良性且罕见的肿瘤，通常进展缓慢。然而，松果体细胞瘤的适当治疗方法各不相同。为获得良好的长期疗效考虑手术切除；然而，这并非总是可行。放疗对残留松果体细胞瘤患者似乎也有效。我们报告一例发生出血性转化并伴有复杂性脑积水的松果体细胞瘤病例。患者拒绝接受积极的肿瘤切除。因此，患者仅接受了内镜活检和脑室外引流（EVD）植入，但结果尚可。此外，我们回顾了文献中松果体细胞瘤的当前治疗策略。
