Metastase medular tardia de germinoma supra-selar: registro de um caso

Settanni, Flavio A. P.; Stavale, João Norberto; Oliveira, Vinio Cintra

doi:10.1590/S0004-282X1983000100009

Resumos

Paciente operado de tumor intramedular que evoluiu para o óbito, cuja necrópsia revelou presença de germinoma intramedular e germinoma supra-selar remanescente de tratamento cirúrgico e radioterápico realizado 11 anos antes. São discutidas a etiologia e a conduta cirúrgica e radioterápica.

A case of a patient with metastasis of germinoma in the spinal cord is reported. Eleven years before the patient was submited to cranial surgery and radiotherapy for a suprasellar tumor.

Metastase medular tardia de germinoma supra-selar: registro de um caso

Late appearence of suprasellar germinoma metastase: report of a case

Flavio A. P. Settanni^I; João Norberto Stavale^II; Vinio Cintra Oliveira^III

^INeurocirurgião. Serviço de Neurocirurgia do Hospital do Servidor Público do Estado de São Paulo

^IIPatologista. Serviço de Neurocirurgia do Hospital do Servidor Público do Estado de São Paulo

^IIIRadioterapeuta. Serviço de Neurocirurgia do Hospital do Servidor Público do Estado de São Paulo

RESUMO

Paciente operado de tumor intramedular que evoluiu para o óbito, cuja necrópsia revelou presença de germinoma intramedular e germinoma supra-selar remanescente de tratamento cirúrgico e radioterápico realizado 11 anos antes. São discutidas a etiologia e a conduta cirúrgica e radioterápica.

SUMMARY

A case of a patient with metastasis of germinoma in the spinal cord is reported. Eleven years before the patient was submited to cranial surgery and radiotherapy for a suprasellar tumor.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Serviço de Neurocirurgia - Hospital do Servidor Público do Estado de São Paulo - Rua Pedro de Toledo 1800 - 04039 São Paulo, SP - Brasil.

1. BALAGURA, S.; SHULMAN, K. & DOBEL, E. H. - Precocious puberty of cerebral origin. Surg. Neurol. 11:315, 1979.
2. BRADFIELD, J. S. & PEREZ, C. A. - Pineal tumors and ectopic pinealomas: analysis of treatment and failures. Radiology 103:399, 1972.
3. BOLTSHAUSER, E.; HAMALATHA, H.; GRANT, D. N. & TILL, K. - Impact of computerised axial tomography on the management of posterior fossa tumors in childhood. Neurol. Neurosurg. and Psychiat. (London) 40:209, 1977.
4. CUMMINS, M. B. & MOUNT, L. A. - Prymary suprasellar atypical teratoma. Brain 97:447, 1974.
5. COHEN, D. N.; STEINBERG, M. & BUCHWALD, R. - Suprasellar germinomas diagnostic confusion with optic gliomas. J. Neurosurg. 41:490, 1974.
6. CUMMINS, F. M.; TAVERAS, J. M. & SCHLESINGER, E. B. - Treatment of gliomas of third ventricle and pinealomas with special reference to value of radiotherapy. Neurology (Minneapolis) 10:1031, 1960.
7. CUSHING, H. - Tumeurs intracraniennes. Masson, Paris, 1937.
8. DEREK, R.; JENKIN, T.; JOHN, W.; SIMPSON, K. & KEEN, C. W. - Pineal and suprasellar germinomas: results of radition treatment. J. Neurosurg. 48:99, 1978.
9. EL-MAHDI, A. M.; PHILIPS, E. & LOTT, S. - The role of radiation therapy in pinealoma. Radiology 103:407, 1972.
10. FACURE, J. J.; FACURE, N. O.; VIEIRA, N. M.; QUEIROZ, L. S. & CARVALHAL, S. S. - Astrocitoma frontal com metástase medular. Arq. Neuro-Psiquiat. (São Paulo) 36:350, 1978.
11. FRIEDMAN, N. B. - Germinoma of the pineal; it's identity with germinoma. (Seminoma) of the testic. Cancer Res. 7:363, 1947.
12. HANKINSON, J. & BANNA, M. - Pituitary and parapituitary tumors. W. B. Saunders Co. Ltd. London, 1976.
13. HARRIS, W. & CAIRNS, H. - Diagnosis and treatment of pineal tumors with report of a case. Lancet 3:9, 1932.
14. IZQUIERDO, J. M.; ROUGERIE, J.; LAPRAS, C. & SANZ, F. - The socalled ectopic pinealomas: a cooperative study of 15 cases. Child's Brain 5:505, 1979.
15. IZQUIERDO, J. M.; SANZ, F.; VAL BERNAL, F.; COCA, J. M.; VILA, F. & DIERSSEN, G. - Pinealomes actopiques de la region optchiasmatique (Dysgerminomes supra-sellaires). Neuro-Chirurgie (Paris) 20:409, 1974.
16. KAGEYAMA, N. - Ectopic pinealoma in the region of the optic chiasm: report of five cases. J. Neurosurg. 35:755, 1971.
17. KAGEYAMA, N. & BELSKY, R. - Ectopic pinealoma in the chiasma region. Neurology (Minneapolis) 11:318, 1961.
18. LINS, M. M.; McDONELL, D. E.; ASCHENBRENER, C. A. & CANCILLA, P. A. - Extrapyramidal disorder with pineal germinoma: case report. J. Neurosurg. 48:108, 1978.
19. MINTZ, B. - Formation and early development of germ cells. Symposium on the germ cells and earliest stages of development. Pallanza. Fondazione A. Baselli. Milano, 1980.
20. OBRADOR, S.; SOTO, M. & GURIERREZ-DIAZ, J. A. - Surgical management of tumors of the pineal region. Acta Neurochir. 34:159, 1976.
21. POPPEN, J. L. & MARINO, R. Jr. - Pinealomas and tumors of the posterior portion of the third ventricle. J. Neurosurg. 28:357, 1968.
22. RUBIN, P. & KRAMER, S. - Ectopic pinealoma: a radiocurable neuroendocriologic entity. Radiology 85:512, 1965.
23. RUBINSTEIN, L. J. - Tumors of the central nervous system. Armed Forces Institute of Pathology, New York, 1972.
24. RUSSEL, D. S. & RUBINSTEIN, L. J. - Pathology of Tumors of the Central Nervous System. Edward Arnold, London, 1963.
25. RUSSEL, D. S. & RUBINSTEIN, L. J. - Pathology of Tumors of the Nervous System. Edward Arnold, 4a ed. London, 1971.
26. SIMSON, L. R.; LAMPE, I. & ABELL, M. R. - Suprasellar germinomas. Cancer 22:533, 1968.
27. SUNG, D.; HARISIADIS, L. & CHANG, C. H. - Midline pineal tumors and suprasellar germinomas highly curable by irradiation. Radiology 128:745, 1978.
28. TAKEUCHI, J.; HANDA, H. & NAGATA, I. - Suprasellar germinoma. J. Neurocirurg. 49:41, 1978.
29. VOORHIES, R. M.; SUNDARISAN, N. & THALER, H. T. - The single supratentorial lesion: an evaluation of preoperative diagnostic tests. J. Neurosurg. 53:364, 1980.
30. WAGA, S.; HANDA, H. & YAMASHITA, J. - Intracranial germinomas: treatment and results. Surg. Neurol. 11:167, 1979.
31. WARA, W. M.; FELLOWS, C. F.; SHELINE, G. E.; WILSON, B. B. & TOWSEND, J. J. - Radiation therapy for pineal tumors and suprasellar germinomas Radiology 124:221, 1977.
32. WEISBERG, L. A.; NICE, C. & KATS, M. - Cerebral Computed Tomography. A Text-Atlas, W. B. Saunders Co., Philadelphia, 1978.

Datas de Publicação

Publicação nesta coleção
14 Ago 2012
Data do Fascículo
Mar 1983

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BALAGURA, S.; SHULMAN, K. & DOBEL, E. H. - Precocious puberty of cerebral origin. Surg. Neurol. 11:315, 1979.

[2] 2. BRADFIELD, J. S. & PEREZ, C. A. - Pineal tumors and ectopic pinealomas: analysis of treatment and failures. Radiology 103:399, 1972.

[3] 3. BOLTSHAUSER, E.; HAMALATHA, H.; GRANT, D. N. & TILL, K. - Impact of computerised axial tomography on the management of posterior fossa tumors in childhood. Neurol. Neurosurg. and Psychiat. (London) 40:209, 1977.

[4] 4. CUMMINS, M. B. & MOUNT, L. A. - Prymary suprasellar atypical teratoma. Brain 97:447, 1974.

[5] 5. COHEN, D. N.; STEINBERG, M. & BUCHWALD, R. - Suprasellar germinomas diagnostic confusion with optic gliomas. J. Neurosurg. 41:490, 1974.

[6] 6. CUMMINS, F. M.; TAVERAS, J. M. & SCHLESINGER, E. B. - Treatment of gliomas of third ventricle and pinealomas with special reference to value of radiotherapy. Neurology (Minneapolis) 10:1031, 1960.

[7] 7. CUSHING, H. - Tumeurs intracraniennes. Masson, Paris, 1937.

[8] 8. DEREK, R.; JENKIN, T.; JOHN, W.; SIMPSON, K. & KEEN, C. W. - Pineal and suprasellar germinomas: results of radition treatment. J. Neurosurg. 48:99, 1978.

[9] 9. EL-MAHDI, A. M.; PHILIPS, E. & LOTT, S. - The role of radiation therapy in pinealoma. Radiology 103:407, 1972.

[10] 10. FACURE, J. J.; FACURE, N. O.; VIEIRA, N. M.; QUEIROZ, L. S. & CARVALHAL, S. S. - Astrocitoma frontal com metástase medular. Arq. Neuro-Psiquiat. (São Paulo) 36:350, 1978.

[11] 11. FRIEDMAN, N. B. - Germinoma of the pineal; it's identity with germinoma. (Seminoma) of the testic. Cancer Res. 7:363, 1947.

[12] 12. HANKINSON, J. & BANNA, M. - Pituitary and parapituitary tumors. W. B. Saunders Co. Ltd. London, 1976.

[13] 13. HARRIS, W. & CAIRNS, H. - Diagnosis and treatment of pineal tumors with report of a case. Lancet 3:9, 1932.

[14] 14. IZQUIERDO, J. M.; ROUGERIE, J.; LAPRAS, C. & SANZ, F. - The socalled ectopic pinealomas: a cooperative study of 15 cases. Child's Brain 5:505, 1979.

[15] 15. IZQUIERDO, J. M.; SANZ, F.; VAL BERNAL, F.; COCA, J. M.; VILA, F. & DIERSSEN, G. - Pinealomes actopiques de la region optchiasmatique (Dysgerminomes supra-sellaires). Neuro-Chirurgie (Paris) 20:409, 1974.

[16] 16. KAGEYAMA, N. - Ectopic pinealoma in the region of the optic chiasm: report of five cases. J. Neurosurg. 35:755, 1971.

[17] 17. KAGEYAMA, N. & BELSKY, R. - Ectopic pinealoma in the chiasma region. Neurology (Minneapolis) 11:318, 1961.

[18] 18. LINS, M. M.; McDONELL, D. E.; ASCHENBRENER, C. A. & CANCILLA, P. A. - Extrapyramidal disorder with pineal germinoma: case report. J. Neurosurg. 48:108, 1978.

[19] 19. MINTZ, B. - Formation and early development of germ cells. Symposium on the germ cells and earliest stages of development. Pallanza. Fondazione A. Baselli. Milano, 1980.

[20] 20. OBRADOR, S.; SOTO, M. & GURIERREZ-DIAZ, J. A. - Surgical management of tumors of the pineal region. Acta Neurochir. 34:159, 1976.

[21] 21. POPPEN, J. L. & MARINO, R. Jr. - Pinealomas and tumors of the posterior portion of the third ventricle. J. Neurosurg. 28:357, 1968.

[22] 22. RUBIN, P. & KRAMER, S. - Ectopic pinealoma: a radiocurable neuroendocriologic entity. Radiology 85:512, 1965.

[23] 23. RUBINSTEIN, L. J. - Tumors of the central nervous system. Armed Forces Institute of Pathology, New York, 1972.

[24] 24. RUSSEL, D. S. & RUBINSTEIN, L. J. - Pathology of Tumors of the Central Nervous System. Edward Arnold, London, 1963.

[25] 25. RUSSEL, D. S. & RUBINSTEIN, L. J. - Pathology of Tumors of the Nervous System. Edward Arnold, 4a ed. London, 1971.

[26] 26. SIMSON, L. R.; LAMPE, I. & ABELL, M. R. - Suprasellar germinomas. Cancer 22:533, 1968.

[27] 27. SUNG, D.; HARISIADIS, L. & CHANG, C. H. - Midline pineal tumors and suprasellar germinomas highly curable by irradiation. Radiology 128:745, 1978.

[28] 28. TAKEUCHI, J.; HANDA, H. & NAGATA, I. - Suprasellar germinoma. J. Neurocirurg. 49:41, 1978.

[29] 29. VOORHIES, R. M.; SUNDARISAN, N. & THALER, H. T. - The single supratentorial lesion: an evaluation of preoperative diagnostic tests. J. Neurosurg. 53:364, 1980.

[30] 30. WAGA, S.; HANDA, H. & YAMASHITA, J. - Intracranial germinomas: treatment and results. Surg. Neurol. 11:167, 1979.

[31] 31. WARA, W. M.; FELLOWS, C. F.; SHELINE, G. E.; WILSON, B. B. & TOWSEND, J. J. - Radiation therapy for pineal tumors and suprasellar germinomas Radiology 124:221, 1977.

[32] 32. WEISBERG, L. A.; NICE, C. & KATS, M. - Cerebral Computed Tomography. A Text-Atlas, W. B. Saunders Co., Philadelphia, 1978.