Cystic Pineocytoma Successfully Treated with Synchronized Chemoradiotherapy: Case Report

Masashi Nakatsukasa, Shigeo Toya, Mitsuhiro Otani, Kazunari Yoshida, Yoshiyuki Ishida, Yoshihiro Ogawa

研究成果: Article査読

4 被引用数 (Scopus)

抄録

A case of pineocytoma associated with intraventricular and meningeal metastasis is reported. The patient, a 25-year-old female, was admitted complaining of headache. Computed tomography revealed an irregular-shaped pineal lesion enhanced by contrast medium and accompanied by a cyst. An intraventricular cystic metastatic lesion and meningeal metastasis were also suggested. Biopsy of the pineal region proved the lesion to be a pineocytoma without neuronal or filial differentiation. Ventriculoperitoneal shunting was performed, and radiation therapy combined with chemotherapy (ACNU and vincristine) was administered. This treatment apparently destroyed both the primary and metastatic lesions, and the patient returned to her normal life. In 4 years of follow-up there has been no recurrence of the tumor. Pineocytoma with meningeal metastasis usually has a poor prognosis, but in this case combined radiation therapy and chemotherapy was curative. Although pineocytoma is rarely accompanied by a cyst, in cases of a pineal lesion coexistent with a cyst, a diagnosis of pineocytoma should be considered.

本文言語English
ページ(範囲)333-337
ページ数5
ジャーナルNeurologia medico-chirurgica
29
4
DOI
出版ステータスPublished - 1989

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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