- 期刊
- OpenAccess
Intracranial Germ Cell Tumor Metastasis to the Peritoneal Cavity through the Ventriculoperitoneal Shunt
摘要
Intracranial germ cell tumors (GCTs) are uncommon and may cause obstructive hydrocephalus, making adequate drainage necessary in symptomatic patients. Here, we present the case of a 36-year-old male patient with intracranial germinoma metastasis to the peritoneal cavity. He had a medical history of pineal germinoma status post ventriculoperitoneal (VP) shunt implantation and definitive radiotherapy. Two years later, the patient presented with epigastric pain, and intra-abdominal metastasis through the VP shunt with malignant transformation to a nongerminomatous GCT was noted. Chemotherapy followed by surgical resection was arranged, and he got disease free after treatment. The present report alerts clinicians to the progression of this uncommon disease and suggests that a thorough physical examination is imperative in patients with a history of intracranial GCTs who have undergone VP shunt implantation, and an alternative therapeutic plan should be considered to treat intracranial GCT-related obstructive hydrocephalus.
延伸閱讀
- Chou, W. C., Jung, S. M., & Chen, J. S. (2005). Spontaneous Intracranial Tumor Bleeding from Metastatic Hepatocellular Carcinoma: A Case of Report. 中華民國癌症醫學會雜誌, 21(2), 34-39. https://doi.org/10.6588/JCOS.2005.21.2.2
- Tam, K. W., Liang, H. H., Chen, H. C., & Kan陳守誠, I. H. (2008). Stomach Perforation Induced by a Migrating Ventriculoperitoneal Shunt. 輔仁醫學期刊, 6(4), 185-190. https://www.airitilibrary.com/Article/Detail?DocID=18102093-200812-201004090001-201004090001-185-190
- Mangal, V., Srinath, R., Lekshmi, V. K., & Pandey, S. (2022). Cerebral Venous Sinus Thrombosis Masquerading as Tumor Bleed in a Patient of Carcinoma Cervix. Journal of Medical Sciences, 42(3), 141-144. https://doi.org/10.4103/jmedsci.jmedsci_13_21
- Li, C. H., Huang, P. H., Chen, Y. F., Chen, H. C., Huang, S. Y., Huang, S. J., Kuo, L. T., & Tu, Y. K. (2015). Metastasizing Granular Cell Type Ameloblastoma with Intracranial Perineural Spread along the Abducens Nerve. 台灣癌症醫學雜誌, 2(3), 261-269. https://doi.org/10.6323/JCRP.2015.2.3.10
- Lin, C. Y., Giiang, Y. H., Chen, J. Y., Hueng, D. Y., & Su, Y. H. (2002). A Metastatic Mucinous Adenocarcinoma to the Corpus Callosum Presenting as an Intraventricular Mass. Journal of Medical Sciences, 22(5), 249-251. https://www.airitilibrary.com/Article/Detail?DocID=10114564-200210-201305090026-201305090026-249-251