ADENOCARCINOMATOUS TRANSFORMATION OF INTRACRANIAL GERM-CELL TUMORS

被引:22
|
作者
FREILICH, RJ
THOMPSON, SJ
WALKER, RW
ROSENBLUM, MK
机构
[1] MEM SLOAN KETTERING CANC CTR,DEPT PATHOL,NEUROPATHOL & AUTOPSY SERV,NEW YORK,NY 10021
[2] MEM SLOAN KETTERING CANC CTR,DEPT NEUROL,NEW YORK,NY 10021
[3] MEM SLOAN KETTERING CANC CTR,DEPT PEDIAT,NEW YORK,NY 10021
[4] BARROW NEUROL INST,DIV NEUROL,PHOENIX,AZ 85013
关键词
GERM CELL TUMOR; TERATOMA; YOLK SAC TUMOR; MALIGNANT TRANSFORMATION; PINEAL GLAND;
D O I
10.1097/00000478-199505000-00005
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Germ cell tumors arising in the gonads, retroperitoneum, and mediastinum are occasionally overgrown by cancers of somatic type that are widely assumed to derive from the ''malignant transformation'' of included teratomatous tissues. These malignant, nongerminal neoplasms are typically chemoresistant, and their emergence is often associated with fatal treatment failure. Only rare, well-documented reports of sarcomatous transformation complicating intracranial germ cell neoplasia are on record. We describe two nongerminomatous germ cell tumors of the pineal region that underwent transformation into enteric-type adenocarcinoma. Both recurred in a locally aggressive fashion, one proving rapidly fatal owing to the development of multiple cerebral and cerebellar metastases and spinal leptomeningeal adenocarcinomatosis.
引用
收藏
页码:537 / 544
页数:8
相关论文
共 50 条
  • [1] INTRACRANIAL GERM-CELL TUMORS
    BJORNSSON, J
    SCHEITHAUER, B
    OKAZAKI, H
    LEECH, RW
    [J]. JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 1984, 43 (03): : 298 - 298
  • [2] INTRACRANIAL GERM-CELL TUMORS IN CHILDREN
    HOFFMAN, HJ
    OTSUBO, H
    HENDRICK, EB
    HUMPHREYS, RP
    DRAKE, JM
    BECKER, LE
    GREENBERG, M
    JENKIN, D
    [J]. JOURNAL OF NEUROSURGERY, 1991, 74 (04) : 545 - 551
  • [3] MRI OF INTRACRANIAL GERM-CELL TUMORS
    SUMIDA, M
    UOZUMI, T
    KIYA, K
    MUKADA, K
    ARITA, K
    KURISU, K
    SUGIYAMA, K
    ONDA, J
    SATOH, H
    IKAWA, F
    MIGITA, K
    [J]. NEURORADIOLOGY, 1995, 37 (01) : 32 - 37
  • [4] INTRACRANIAL GERM-CELL TUMORS IN ADULTS
    AGRANAT, P
    JEDYNAK, P
    EPARDEAU, B
    EXTRA, JM
    MIGNOT, L
    [J]. BULLETIN DU CANCER, 1995, 82 (08) : 650 - 659
  • [5] INTRACRANIAL GERM-CELL TUMORS IN CHILDREN
    OTSUBO, H
    HOFFMAN, HJ
    HENDRICK, EB
    DRAKE, JM
    BECKER, LE
    HUMPHREYS, RP
    [J]. JOURNAL OF NEUROSURGERY, 1990, 72 (02) : A358 - A358
  • [6] CT OF PINEAL TUMORS AND INTRACRANIAL GERM-CELL TUMORS
    CHANG, T
    TENG, MMH
    GUO, WY
    SHENG, WC
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 1989, 10 (05) : 1039 - 1044
  • [7] CT OF PINEAL TUMORS AND INTRACRANIAL GERM-CELL TUMORS
    CHANG, T
    TENG, MMH
    GUO, WY
    SHENG, WC
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 1989, 153 (06) : 1269 - 1274
  • [8] CONTROVERSIES IN THE MANAGEMENT OF INTRACRANIAL GERM-CELL TUMORS
    ALLEN, JC
    [J]. NEUROLOGIC CLINICS, 1991, 9 (02) : 441 - 452
  • [9] INTRACRANIAL GERM-CELL TUMORS IN 2 DOGS
    SUMMERS, BA
    PALMER, AC
    LITTLEWOOD, JD
    BLAKEMORE, WF
    [J]. JOURNAL OF SMALL ANIMAL PRACTICE, 1989, 30 (01) : 39 - 42
  • [10] TREATMENT OF MALIGNANT INTRACRANIAL GERM-CELL TUMORS
    SENAN, S
    [J]. BRITISH MEDICAL JOURNAL, 1992, 305 (6844): : 52 - 52