title: Primary medulla oblongata germinoma: a case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Radiology, Buddhist Tzu Chi General Hospital, Taiwan, ROC.
authors.forename: Pao-Sheng
authors.initials: PS
authors.lastname: Yen
authors.forename: Andy Shau-bin
authors.initials: AS
authors.lastname: Chou
authors.forename: Chi-Jen
authors.initials: CJ
authors.lastname: Chen
authors.forename: Shih-Ming
authors.initials: SM
authors.lastname: Jung
authors.forename: Huo-Li
authors.initials: HL
authors.lastname: Chuang
authors.forename: R Michael
authors.initials: RM
authors.lastname: Scott
mesh_terms: 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*