Primary conus medullaris germinoma: A 22-year follow-up

Primary intramedullary spinal cord germinoma (PISCG) is very rare, and its preoperative diagnosis is therefore difficult. In addition, its treatment protocols and long-term outcomes are not yet established. Here, we report the case of a patient with a primary conus medullaris germinoma who initially...

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Bibliographic Details
Published in:Formosan Journal of Surgery
Main Authors: Chi-Wen Chang, Jung-Shun Lee, Hsing-Hong Chen
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2017-01-01
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Online Access:http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=32;epage=34;aulast=Chang
Description
Summary:Primary intramedullary spinal cord germinoma (PISCG) is very rare, and its preoperative diagnosis is therefore difficult. In addition, its treatment protocols and long-term outcomes are not yet established. Here, we report the case of a patient with a primary conus medullaris germinoma who initially presented with ejaculatory disturbance and coccygeal hypoesthesia. After the total excision of the germinoma and radiotherapy, no tumor recurrence was noted for 22 years. We have also reviewed the distribution of PISCG in spinal segments and its treatment modalities.
ISSN:1682-606X