Pineal endodermal sinus tumor and 1 case of intracranial planting.doc

 PAGE \* MERGEFORMAT 5 Pineal endodermal sinus tumor and 1 case of intracranial planting [Keywords:] Yolk sac tumor; intracranial planting Case Information Were male, 17 years old, repeated headaches, dizziness, tremor, standing firm for 2 years and increased with nausea, vomiting, more than 10 days of hospitalization and 1 year outside the hospital was diagnosed as malignant pineal region, concurrent radiotherapy and chemotherapy lesions was significantly reduced, symptom improvement, the recent symptoms worsened gradually into the hospital. Physical examination: the spirit of poor, weak eyes open, eye movements normal, there is resistance to the neck, heart, lung, abdominal examination was normal. limbs, muscle tension and normal muscle strength, knee reflex normal, Pakistan Bin’s sign negative. MRI showed: quadrigeminal pool, third ventricle, the pineal gland and occipital horn of left lateral ventricle can be seen about 7.0cm × 6.0cm × 7.0cm size with clear boundary and irregular, the signal does not uniform mass, unenhanced T1-weighted image (T1WI showed a slightly lower signal, T2-weighted images (T2WI was higher signal, edema around the lesion is not obvious, and quadrigemina pool, third ventricle, the pineal gland and the left ventricle occipital horn Area mass may be separated. punctate mass seen in long-short T2 signal T1, the first longitudinal See also a size of about 3.0cm × 2.6cm in the dumbbell-shaped mass in the boundary clear, was also found longer longer T1 T2 signal (Fig. 1 4. enhanced scan mass was significantly enhanced, but uneven, showing sieve-like changes (Figure 5,6. it can be seen within the cystic calcification. the right of the right thalamus paraneoplastic lesions cistern enhancement film can also be found. mass effect evident pressure around the structure has shifted to the right side of the midline shift. consider the pineal region tumor with metastasis: germ cell tumor with cerebrospinal fluid transfer possible. to conf