Nonresective treatment of pineoblastoma: A case report
| Autor: | Rifat Bashir, Arun Angelo Patil, Good Rr, Hamid Etemadrezaie |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Stereotactic biopsy medicine.medical_treatment Brachytherapy Pineal Gland Asymptomatic Iodine Radioisotopes medicine Humans Pineoblastoma medicine.diagnostic_test Brain Neoplasms business.industry Standard treatment Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Hydrocephalus Radiation therapy Chemotherapy Adjuvant Pinealoma Female Radiotherapy Adjuvant Surgery Neurology (clinical) medicine.symptom business Nuclear medicine |
| Zdroj: | Surgical Neurology. 44:386-391 |
| ISSN: | 0090-3019 |
| Popis: | BACKGROUND Stereotactic biopsy followed by cytoreductive surgery and/or radiation are the standard treatment for pineoblastoma. We are reporting a patient with a relatively large pineoblastoma, who was treated with a combination of nonresective treatment modalities. METHOD The patient is a 20-year-old woman who presented with signs and symptoms of raised intracranial pressure. Magnetic resonance imaging (MRI) showed a large tumor in the pineal region and hydrocephalus. She was emergently treated by placement of a ventriculoperitoneal shunt. Three days later she underwent a stereotactic biopsy, which showed the tumor to be pineoblastoma. She was then further treated with the following treatment modalities: permanent implantation of high activity I 125 seeds, external radiation, and chemotherapy. RESULTS At 10 months' follow-up, MRI showed complete disappearance of the tumor. At 18 months' follow-up, the patient is asymptomatic, neurologically intact, and her MRI scans show no evidence of intracranial or intraspinal tumor. CONCLUSIONS Though the follow-up is relatively short, the results of the nonresective approach in this patient have been excellent. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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