Section of Endocrinology, Diabetes and Metabolism, University of Santo Tomas Hospital, Manila, Philippines.
Section of Oncology, University of Santo Tomas Hospital, Manila, Philippines.
J ASEAN Fed Endocr Soc. 2022;37(1):97-102. doi: 10.15605/jafes.037.01.12. Epub 2022 May 13.
We report a case of a 24-year-old Filipino male who complained of general weakness, polydipsia, weight loss, bitemporal headaches, loss of libido and behavioral changes. Endocrine work-up revealed neurogenic diabetes insipidus and panhypopituitarism. Brain MRI showed multiple intracranial tumors in the left frontal lobe, pineal and suprasellar region with moderate non-communicating hydrocephalus. Intracranial mass biopsy with ventriculo-peritoneal shunting was done. Histopathology of the mass and CSF revealed a germinoma. He underwent chemoradiotherapy while on maintenance hormone replacement.
我们报告了一例 24 岁菲律宾男性患者,他主诉全身乏力、多饮、体重减轻、双颞头痛、性欲减退和行为改变。内分泌检查显示为神经性尿崩症和全垂体功能减退症。脑 MRI 显示左额叶、松果体和鞍上区域有多个颅内肿瘤,伴有中度非交通性脑积水。进行了颅内肿块活检和脑室-腹腔分流术。肿块和 CSF 的组织病理学显示为生殖细胞瘤。他在接受维持性激素替代治疗的同时接受了放化疗。