Primary Intracranial Choriocarcinoma Located in the Suprasellar Region.

Q4 Medicine Open Neuroimaging Journal Pub Date : 2016-06-30 eCollection Date: 2016-01-01 DOI:10.2174/1874440001610010080
Xiuli Li, Kazuhiro Murayama, Ayumi Watanabe, Masato Abe, Hiroshi Toyama
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引用次数: 2

Abstract

A 10 year old girl was admitted to our hospital due to headache, nausea, and weight loss for about half a year. She also had visual field disorders. Suprasellar tumor was found by X-ray computed tomography, and magnetic resonance imaging showed a ring-like lobulated enhanced mass with hemorrhage and necrosis. Biopsy of this lesion showed primary intracranial choriocarcinoma on histopathological examination. The serum human chorionic gonadotropin (hCG) level was measured after the biopsy and was elevated at 71,298.2 IU/L. The patient died due to hydrocephalus caused by an increase in the size of the tumor with a larger amount of hemorrhage than the preoperative features. If young patients present with a suprasellar lobulated mass with hemorrhage, the serum hCG level should be measured before operation.

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原发性颅内绒毛膜癌位于鞍上区。
一名10岁女孩因头痛、恶心、体重下降约半年入院。她还患有视野障碍。经x线计算机断层扫描发现鞍上肿瘤,磁共振成像显示环状分叶状强化肿块伴出血和坏死。病理检查显示为原发性颅内绒毛膜癌。活检后测定血清人绒毛膜促性腺激素(hCG)水平,升高至71,298.2 IU/L。患者死于脑积水,肿瘤体积增大,出血量大于术前特征。如果年轻患者出现鞍上分叶状肿块并出血,应在手术前测量血清hCG水平。
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来源期刊
Open Neuroimaging Journal
Open Neuroimaging Journal Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.70
自引率
0.00%
发文量
3
期刊介绍: The Open Neuroimaging Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, and letters in all important areas of brain function, structure and organization including neuroimaging, neuroradiology, analysis methods, functional MRI acquisition and physics, brain mapping, macroscopic level of brain organization, computational modeling and analysis, structure-function and brain-behavior relationships, anatomy and physiology, psychiatric diseases and disorders of the nervous system, use of imaging to the understanding of brain pathology and brain abnormalities, cognition and aging, social neuroscience, sensorimotor processing, communication and learning.
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