原发性脊髓圆锥生殖细胞瘤。

Primary spinal conus medullaris germinoma.

作者信息

Chen Yang, Li Chia-Wen, Tseng Wei-Lung

机构信息

Surgery, Fu Jen Catholic University Hospital, New Taipei City, Taiwan.

Neurosurgery, Fu Jen Catholic University Hospital, New Taipei City, Taiwan.

出版信息

BMJ Case Rep. 2025 Jan 14;18(1):e263168. doi: 10.1136/bcr-2024-263168.

DOI:10.1136/bcr-2024-263168

PMID:39809487

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11751602/

Abstract

A woman in her early 20s presented with progressive low back pain, leg weakness and sphincter dysfunction. MRI revealed a 5 × 1.5 cm intramedullary tumour at the T12-L2 level. Elevated preoperative beta-human chorionic gonadotropin levels were noted. Surgical excision confirmed the diagnosis of a germinoma. Postoperative MRI showed no additional lesions. The patient underwent localized radiation therapy, but recurrence was noted 10 months later.

摘要

一名20岁出头的女性出现进行性下背痛、腿部无力和括约肌功能障碍。磁共振成像（MRI）显示在胸12至腰2水平有一个5×1.5厘米的髓内肿瘤。术前β-人绒毛膜促性腺激素水平升高。手术切除确诊为生殖细胞瘤。术后MRI显示无其他病变。患者接受了局部放射治疗，但10个月后复发。