A Case of Nongerminomatous Germ Cell Tumor of the Pineal Region: Risks and Advantages of Biopsy by Endoscopic Approach
Joint Authors
Nasi, Davide
Mancini, Fabrizio
Dobran, Mauro
Scerrati, Massimo
Gladi, Maurizio
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-11
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
A 21-year-old male was admitted to our department with headache and drowsiness.
CT scan and MRI revealed acute obstructive hydrocephalus caused by a pineal region mass.
The serum and CSF levels of beta-human chorionic gonadotropin (beta-hCG) were 215 IU/L and 447 IU/L, respectively, while levels of alpha-fetoprotein (AFP) were normal.
A germ cell tumor (GCT) was suspected, and the patient underwent endoscopic third ventriculostomy (ETV) with biopsy.
After four days from surgery, the tumor bled with mass expansion and ETV stoma occlusion; thus, a ventriculoperitoneal shunt was positioned.
After ten months, the tumor metastasized to the thorax and abdomen with progression of intracerebral tumor mass.
Despite the aggressive nature of this tumor, ETV remains a valid approach for a pineal region mass, but in case of GCT, the risk of bleeding should be taken into account, during and after the surgical procedure.
American Psychological Association (APA)
Dobran, Mauro& Nasi, Davide& Mancini, Fabrizio& Gladi, Maurizio& Scerrati, Massimo. 2018. A Case of Nongerminomatous Germ Cell Tumor of the Pineal Region: Risks and Advantages of Biopsy by Endoscopic Approach. Case Reports in Medicine،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1144930
Modern Language Association (MLA)
Dobran, Mauro…[et al.]. A Case of Nongerminomatous Germ Cell Tumor of the Pineal Region: Risks and Advantages of Biopsy by Endoscopic Approach. Case Reports in Medicine No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1144930
American Medical Association (AMA)
Dobran, Mauro& Nasi, Davide& Mancini, Fabrizio& Gladi, Maurizio& Scerrati, Massimo. A Case of Nongerminomatous Germ Cell Tumor of the Pineal Region: Risks and Advantages of Biopsy by Endoscopic Approach. Case Reports in Medicine. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1144930
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144930