Primary germinoma in the medulla oblongata - case report - .

Abstract:

:A 27-year-old woman presented with a case of primary medulla oblongata germinoma manifesting as sleep apnea, aspiration pneumonia, and left hemiparesis. Magnetic resonance (MR) imaging revealed a dorsal mass in the medulla oblongata with heterogeneous enhancement by gadolinium (Gd). Emergent biopsy and foramen magnum decompression with C1 laminectomy were performed because of rapid worsening of her symptoms. The histological diagnosis was germinoma. Subsequently she received chemoradiation therapy with subsequent amelioration of her neurological deficits and disappearance of enhancement on MR imaging with Gd. Primary medulla oblongata germinoma is rare and difficult to diagnose preoperatively. However, correct diagnosis and subsequent adequate chemoradiation therapy is possible by understanding the common characteristics of the disease. Germinoma should be included in the differential diagnosis of midline medullary lesion in young patients, and biopsy should be considered.

authors

Yasuhara T,Ichikawa T,Miyoshi Y,Kurozumi K,Maruo T,Yanai H,Date I

doi

10.2176/nmc.51.326

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

326-9

issue

4

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/51.326

journal_volume

51

pub_type

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