Supratentorial primitive neuroectodermal tumor during pregnancy. Case report.
The case of an 18-year-old primipara in the second trimester of pregnancy affected by a primitive supratentorial mass is described. Main symptoms of increased intracranial pressure were severe headache, diplopia, and left hemiparesis. In the 20(th) week of pregnancy a fronto-temporal craniotomy was performed with complete excision of the tumor. Immunohistochemical analysis showed a primitive neuroectodermal tumor (PNET). Three months after being discharged, the patient still presented headache and apathy, and a magnetic resonance imaging scan again showed the presence of a temporal lesion; therefore, after caesarean delivery the second surgical resection of the tumor was performed. Combined chemotherapy and radiotherapy was required.
Ulivieri
S
S
Department of Neurosurgery, Santa Maria alle Scotte Hospital, 53100 Siena, Italy. simone.ulivieri@tiscali.it
Oliveri
G
G
Filosomi
F
F
Petraglia
F
F
D000293:Adolescent; D005260:Female; D006801:Humans; D018242:Neuroectodermal Tumors, Primitive / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000628:therapy; D015173:Supratentorial Neoplasms / Q000175:diagnosis / Q000628:therapy