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Primary medulla oblongata germinoma: a case report and review of the literature
Authors:Yen  Pao-Sheng  Shau-Bin Chou  Andy  Chen  Chi-Jen  Jung   Shih-Ming  Chuang   Huo-Li  Michael Scott  R.
Affiliation:(1) Department of Radiology, Buddhist Tzu Chi General Hospital, China;(2) Department of Diagnostic Radiology, Chang Gung Memorial Hospital, China;(3) Department of Pathology, Chang Gung Memorial Hospital, China;(4) Division of Neurosurgery, Mackay Memorial Hospital, HsinChu Mackay Junior College of Nursing, Hsinchu, Taiwan;(5) Department of Pediatric Neurosurgery, Children's Hospital, Harvard Medical School, Boston, MA, USA
Abstract:We describe a case of primary intracranial medulla oblongata germinoma in a 16-year-old girl who presented with progressive headache and blurred vision. Magnetic resonance imaging demonstrated a heterogeneous exophytic mass arising from dorsal aspect of medulla oblongata with extension into fourth ventricle. The differential diagnosis for this patient had included ependymoma, exophytic glioma, medulloblastoma and choroid plexus papilloma. After surgical resection and radiation therapy, she remains alive and recurrence-free for 7 years.
Keywords:intracranial germ cell tumor  germinoma  medulla oblongata  magnetic resonance imaging
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