Successful treatment of neoadjuvant therapy for papillary tumor of the pineal region

We report a boy who in 1994, at the age of 11, presented with headache and vomiting. The fi nal diagnosis was papillary tumor of the pineal region (PTPR). Magnetic resonance imaging (MRI) revealed a heterogeneous mass. Hydrocephalus was addressed by immediate ventricle drainage; subsequently, we att...

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Veröffentlicht in:Brain tumor pathology 2009-10, Vol.26 (2), p.73-77
Hauptverfasser: Nakamura, Hideo, Makino, Keishi, Kochi, Masato, Nakazato, Yoichi, Kuratsu, Jun-ichi
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container_issue 2
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container_title Brain tumor pathology
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creator Nakamura, Hideo
Makino, Keishi
Kochi, Masato
Nakazato, Yoichi
Kuratsu, Jun-ichi
description We report a boy who in 1994, at the age of 11, presented with headache and vomiting. The fi nal diagnosis was papillary tumor of the pineal region (PTPR). Magnetic resonance imaging (MRI) revealed a heterogeneous mass. Hydrocephalus was addressed by immediate ventricle drainage; subsequently, we attempted tumor removal. As the intraoperative diagnosis of the hemorrhagic tumor was primitive neuroectodermal tumor (PNET), we did not proceed to total removal. After the delivery of radiotherapy (50.4 Gy) and one course of Nimustine hydrochloride (ACNU) chemotherapy, the residual tumor was completely resected. The diagnosis at that time (1994) was papillary pineocytoma. He was followed on an outpatient basis for 15 years and remained free of recurrence. This type of tumor was later proposed to represent a new distinct tumor subtype, papillary tumor of the pineal region (PTPR). Our data indicate that our patient’s tumor should be included in this category.
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subjects Brain Neoplasms - diagnosis
Brain Neoplasms - pathology
Brain Neoplasms - therapy
Cancer Research
Carcinoma, Papillary - diagnosis
Carcinoma, Papillary - pathology
Carcinoma, Papillary - therapy
Child
Humans
Hydrocephalus - therapy
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Neoadjuvant Therapy
Neurology
Neurosurgery
Neurosurgical Procedures
Nimustine - therapeutic use
Oncology
Original Article
Pathology
Pineal Gland - pathology
Pineal Gland - surgery
Pinealoma - diagnosis
Pinealoma - pathology
Pinealoma - therapy
Treatment Outcome
title Successful treatment of neoadjuvant therapy for papillary tumor of the pineal region
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