title: Subarachnoid dissemination of pineal germinoma 9 years after radiation therapy without local relapse--case report.
abstract: A 22-year-old female developed intracranial and spinal subarachnoid metastases 9 years after radiation therapy for a pineal germinoma. Computed tomographic scans showed no evidence of local recurrence. Cerebrospinal axis irradiation achieved total remission. Delayed subarachnoid dissemination may be caused by germinoma cells remaining dormant in the subarachnoid space, outside the radiation field.
authors.affiliation: Department of Neurosurgery, Kanagawa Rehabilitation Center.
authors.forename: K
authors.initials: K
authors.lastname: Tokoro
authors.forename: Y
authors.initials: Y
authors.lastname: Chiba
authors.forename: S
authors.initials: S
authors.lastname: Murase
authors.forename: S
authors.initials: S
authors.lastname: Yagishita
authors.forename: Y
authors.initials: Y
authors.lastname: Kyuma
mesh_terms: D001932:Brain Neoplasms / Q000150:complications / Q000473:pathology* / Q000532:radiotherapy / Q000556:secondary; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D008577:Meningeal Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D009362:Neoplasm Metastasis; D010871:Pinealoma / Q000150:complications / Q000532:radiotherapy / Q000556:secondary*; D013346:Subarachnoid Space; D013997:Time Factors