Anan M, Ishii K, Nakamura T, Yamashita M, Katayama S, Sainoo M, Nagatomi H, Kobayashi H. Postoperative adjuvant treatment for pineal parenchymal tumour of intermediate differentiation.
J Clin Neurosci 2006;
13:965-8. [PMID:
16904896 DOI:
10.1016/j.jocn.2005.11.036]
[Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2004] [Accepted: 11/16/2005] [Indexed: 11/16/2022]
Abstract
Pineal parenchymal tumour of intermediate differentiation (PPTID) in adults is rare and a treatment strategy for this condition has not yet been established. We present a case of an elderly patient treated with postoperative adjuvant therapy using radio- and chemotherapy. This 60-year-old man presented with a 3-month history of memory disturbance, gait instability and double vision. Computed tomography and magnetic resonance imaging demonstrated a mass in the pineal region that suggested a malignant tumour. Partial removal of the tumour was undertaken via the right occipital transtentorial approach. The histological diagnosis was PPTID. Postoperative radio- and chemotherapy were administered, with a good response. Little is known about the clinical behaviour of PPTID in adults. Our treatment plan indicates one effective option for the management of such tumours.
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