Intracranial Dural Metastasis of Mediastinal Seminoma: Case Report
A 24-year-old male presented with a rare intracranial dural metastasis from a mediastinal germ cell tumor infiltrating the superior vena cava, pericardium, ascending aorta, and lung. Routine chest radiography incidentally revealed the abnormal mediastinum, which was partially resected after median s...
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Veröffentlicht in: | Neurologia medico-chirurgica 2000, Vol.40(8), pp.423-426 |
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creator | OYOSHI, Tatsuki NAKAYAMA, Masaki HIRANO, Hirofumi SHIMOKAWA, Shinji KURATSU, Jun-ichi |
description | A 24-year-old male presented with a rare intracranial dural metastasis from a mediastinal germ cell tumor infiltrating the superior vena cava, pericardium, ascending aorta, and lung. Routine chest radiography incidentally revealed the abnormal mediastinum, which was partially resected after median sternotomy, followed by radiotherapy. One year after the radiotherapy, magnetic resonance imaging revealed a right parasagittal tumor mimicking a meningioma. Partial tumor removal was performed. Two cycles of chemotherapy with carboplatin and etoposide were then performed, and the residual tumor almost completely disappeared. The histological diagnosis of both the mediastinal and intracranial tumors was pure seminoma. Sections of metastatic tumor revealed several thick fibrous septa and numerous epithelioid granulomas infiltrated by plasma cells, intermingled between the clusters of tumor cells. Follow up of patients apparently in remission from mediastinal seminoma without evidence of advanced or recurrent disease at other sites is recommended. |
doi_str_mv | 10.2176/nmc.40.423 |
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Follow up of patients apparently in remission from mediastinal seminoma without evidence of advanced or recurrent disease at other sites is recommended.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.40.423</identifier><identifier>PMID: 10979266</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Adult ; Brain Neoplasms - diagnosis ; Brain Neoplasms - pathology ; Brain Neoplasms - secondary ; Brain Neoplasms - surgery ; Combined Modality Therapy ; Dura Mater ; epithelioid granuloma ; Fatal Outcome ; Humans ; intracranial dural metastasis ; Magnetic Resonance Imaging ; Male ; Mediastinal Neoplasms - pathology ; mediastinal seminoma ; Seminoma - diagnosis ; Seminoma - pathology ; Seminoma - secondary ; Seminoma - surgery ; Tomography, X-Ray Computed</subject><ispartof>Neurologia medico-chirurgica, 2000, Vol.40(8), pp.423-426</ispartof><rights>2000 by The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c362t-9e8e27c959801bba17e600e87545d4a1d6bd3fcc9366d1f8c9559a4539bbc15d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,1884,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10979266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OYOSHI, Tatsuki</creatorcontrib><creatorcontrib>NAKAYAMA, Masaki</creatorcontrib><creatorcontrib>HIRANO, Hirofumi</creatorcontrib><creatorcontrib>SHIMOKAWA, Shinji</creatorcontrib><creatorcontrib>KURATSU, Jun-ichi</creatorcontrib><title>Intracranial Dural Metastasis of Mediastinal Seminoma: Case Report</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>A 24-year-old male presented with a rare intracranial dural metastasis from a mediastinal germ cell tumor infiltrating the superior vena cava, pericardium, ascending aorta, and lung. Routine chest radiography incidentally revealed the abnormal mediastinum, which was partially resected after median sternotomy, followed by radiotherapy. One year after the radiotherapy, magnetic resonance imaging revealed a right parasagittal tumor mimicking a meningioma. Partial tumor removal was performed. Two cycles of chemotherapy with carboplatin and etoposide were then performed, and the residual tumor almost completely disappeared. The histological diagnosis of both the mediastinal and intracranial tumors was pure seminoma. Sections of metastatic tumor revealed several thick fibrous septa and numerous epithelioid granulomas infiltrated by plasma cells, intermingled between the clusters of tumor cells. Follow up of patients apparently in remission from mediastinal seminoma without evidence of advanced or recurrent disease at other sites is recommended.</description><subject>Adult</subject><subject>Brain Neoplasms - diagnosis</subject><subject>Brain Neoplasms - pathology</subject><subject>Brain Neoplasms - secondary</subject><subject>Brain Neoplasms - surgery</subject><subject>Combined Modality Therapy</subject><subject>Dura Mater</subject><subject>epithelioid granuloma</subject><subject>Fatal Outcome</subject><subject>Humans</subject><subject>intracranial dural metastasis</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mediastinal Neoplasms - pathology</subject><subject>mediastinal seminoma</subject><subject>Seminoma - diagnosis</subject><subject>Seminoma - pathology</subject><subject>Seminoma - secondary</subject><subject>Seminoma - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMottRufADpyoUw9eSerETqrVBxoa5DJpPRyFxqMl349kZaizvhcA4_5-NffAidYpgTLMVl17o5gzkj9ACNMWW6UED0IRoDk1AoDHyEpimFEoAwxaiSx2iEQUtNhBgjvuyGaF20XbDN7GYT8370g015Qpr1dU5VyDF0-fPs29D1rT1BR7Vtkp_u7gS93t2-LB6K1dP9cnG9KhwVZCi0V55Ip7lWgMvSYukFgFeSM14xiytRVrR2TlMhKlyrTHJtGae6LB3mFZ2g823vOvafG58G04bkfNPYzvebZCQhDAOIf0ECEpRQPIMXW9DFPqXoa7OOobXxy2AwP0JNFmoYmCw0w2e71k3Z-uoPutWXgast8JF9vfk9YOMQXON_u9RuEbr_uHcbje_oNzznhrk</recordid><startdate>20000101</startdate><enddate>20000101</enddate><creator>OYOSHI, Tatsuki</creator><creator>NAKAYAMA, Masaki</creator><creator>HIRANO, Hirofumi</creator><creator>SHIMOKAWA, Shinji</creator><creator>KURATSU, Jun-ichi</creator><general>The Japan Neurosurgical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20000101</creationdate><title>Intracranial Dural Metastasis of Mediastinal Seminoma</title><author>OYOSHI, Tatsuki ; NAKAYAMA, Masaki ; HIRANO, Hirofumi ; SHIMOKAWA, Shinji ; KURATSU, Jun-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-9e8e27c959801bba17e600e87545d4a1d6bd3fcc9366d1f8c9559a4539bbc15d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Brain Neoplasms - diagnosis</topic><topic>Brain Neoplasms - pathology</topic><topic>Brain Neoplasms - secondary</topic><topic>Brain Neoplasms - surgery</topic><topic>Combined Modality Therapy</topic><topic>Dura Mater</topic><topic>epithelioid granuloma</topic><topic>Fatal Outcome</topic><topic>Humans</topic><topic>intracranial dural metastasis</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mediastinal Neoplasms - pathology</topic><topic>mediastinal seminoma</topic><topic>Seminoma - diagnosis</topic><topic>Seminoma - pathology</topic><topic>Seminoma - secondary</topic><topic>Seminoma - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OYOSHI, Tatsuki</creatorcontrib><creatorcontrib>NAKAYAMA, Masaki</creatorcontrib><creatorcontrib>HIRANO, Hirofumi</creatorcontrib><creatorcontrib>SHIMOKAWA, Shinji</creatorcontrib><creatorcontrib>KURATSU, Jun-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OYOSHI, Tatsuki</au><au>NAKAYAMA, Masaki</au><au>HIRANO, Hirofumi</au><au>SHIMOKAWA, Shinji</au><au>KURATSU, Jun-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intracranial Dural Metastasis of Mediastinal Seminoma: Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2000-01-01</date><risdate>2000</risdate><volume>40</volume><issue>8</issue><spage>423</spage><epage>426</epage><pages>423-426</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>A 24-year-old male presented with a rare intracranial dural metastasis from a mediastinal germ cell tumor infiltrating the superior vena cava, pericardium, ascending aorta, and lung. Routine chest radiography incidentally revealed the abnormal mediastinum, which was partially resected after median sternotomy, followed by radiotherapy. One year after the radiotherapy, magnetic resonance imaging revealed a right parasagittal tumor mimicking a meningioma. Partial tumor removal was performed. Two cycles of chemotherapy with carboplatin and etoposide were then performed, and the residual tumor almost completely disappeared. The histological diagnosis of both the mediastinal and intracranial tumors was pure seminoma. Sections of metastatic tumor revealed several thick fibrous septa and numerous epithelioid granulomas infiltrated by plasma cells, intermingled between the clusters of tumor cells. Follow up of patients apparently in remission from mediastinal seminoma without evidence of advanced or recurrent disease at other sites is recommended.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>10979266</pmid><doi>10.2176/nmc.40.423</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Brain Neoplasms - diagnosis Brain Neoplasms - pathology Brain Neoplasms - secondary Brain Neoplasms - surgery Combined Modality Therapy Dura Mater epithelioid granuloma Fatal Outcome Humans intracranial dural metastasis Magnetic Resonance Imaging Male Mediastinal Neoplasms - pathology mediastinal seminoma Seminoma - diagnosis Seminoma - pathology Seminoma - secondary Seminoma - surgery Tomography, X-Ray Computed |
title | Intracranial Dural Metastasis of Mediastinal Seminoma: Case Report |
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