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Journal of Korean Neurosurgical Society > Volume 39(4); 2006 > Article
Journal of Korean Neurosurgical Society 2006;39(4): 296-299.
Retroperitoneal Yolk Sac Tumor in Adult Woman Presenting as Spinal Cord Compression and Fatal Pulmonary Tumor Embolism.
Hyeong Joong Yi, Koang Hum Bak
Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea. pkh2325@hanyang.ac.kr
ABSTRACT
A 35-year-old woman, previously treated for systemic metastases from retroperitoneal yolk sac tumor, presented with progressive painful paraparesis. Preoperative images showed severe cord compression by the metastatic infiltration of the lumbar vertebrae and epidural mass as well as a huge retroperitoneal mass. While performing unremarkable surgery in prone position, the patient abruptly fell into hypoxic insults and circulatory arrest. Intraoperative pulmonary tumor embolism was deemed a cause of death. When planning operative procedure for this dangerous malignancy, scrupulous manipulation is mandated and the possibility of fatal pulmonary tumor embolism should also be addressed and fully discussed preoperatively.
Key Words: Extragonadal (retroperitoneal); Pulmonary tumor embolism; Spinal cord compression; Yolk sac tumor
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