마미총으로 전이된 송파체 배아세포종 1예
A Case of Pineal Germinoma with Drop Matastasis to Cauda Equina
이선호, 이용진, 한대희, 지제근,
소속 상세정보
이선호 ( Lee Sun-Ho )
서울대학교 의과대학 신경외과학교실
이용진 ( Lee Yong-Jin )
서울대학교 의과대학 신경외과학교실
한대희 ( Han Dae-Hee )
서울대학교 의과대학 신경외과학교실
지제근 ( Chi Je-Geun )
서울대학교 의과대학 병리학교실
KMID : 0359819800090020629
Abstract
Pineal germinoma is one of the most radiosensitive intracranial tumors and not infrequently spreads through the subarachnoid space. We have experienced a case of pineal germinoma, which had been treated by deep radiotherapy over the cranium with V-A shunt and 14 months later, spinal metastasis occurred. Brain CT scan showed no evididence of intracranial recurrence and myelography showed total block of dye column from L2 to L5 level. Operation revealed intradural tumors, and histopathological diagnosis was germinoma. After total laminectomy from L2 to L5 with biopsy, spinal axis irradiation was performed with symptomatic improvement.
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