Primary medulla oblongata germinoma: a case report and review of the literature.
We describe a case of primary intracranial medulla oblongata germinoma in a 16-year-old girl who presented with progressive headache and blurred vision. Magnetic resonance imaging demonstrated a heterogeneous exophytic mass arising from dorsal aspect of medulla oblongata with extension into fourth ventricle. The differential diagnosis for this patient had included ependymoma, exophytic glioma, medulloblastoma and choroid plexus papilloma. After surgical resection and radiation therapy, she remains alive and recurrence-free for 7 years.
Yen
Pao-Sheng
PS
Department of Radiology, Buddhist Tzu Chi General Hospital, Taiwan, ROC.
Chou
Andy Shau-bin
AS
Chen
Chi-Jen
CJ
Jung
Shih-Ming
SM
Chuang
Huo-Li
HL
Scott
R Michael
RM
D000293:Adolescent; D020295:Brain Stem Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D018237:Germinoma / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000473:pathology*