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Journal of Korean Neurosurgical Society > Volume 19(7); 1990 > Article
Journal of Korean Neurosurgical Society 1990;19(7): 881-889.
A Clinical Analysis of 11 Cases of Pineal Region Tumor.
Eui Jang Hwang, Seung Churl Hong, Mun Kan Kim, Woo Hyun Sung, Soo Han Yoon, Jin Woo Chang, Mu Seoub Lee, Hwa Ryong Rhee
Department of Neurosurgery, Capital Armed Forces General Hospital, Seoul, Korea.
ABSTRACT
The authors analyzed 11 cases of pineal region tumor in young male patients who had been treated at the Capital Armed General Hospital. So, the following results were obtained. 1) Due to the army distinctiveness, all cases were young male patients. 2) An unusual large proportion of pineal region tumor(26.2%) was noted. 3) Headache and vomiting were main presenting symptoms and the duration of symptoms was short. 4) The tumors were mainly presented as a round well-enchancing masses with calcification. Also, nearly all were associated with hydrocephalus. 5) MRI was very useful for the demonstration of tumor extent. 6) Based on the classification of pineal tumor, the tumors of germ cell origin were predominant(81.9%). 7) The extrapineal metastasis was frequent. 8) The tumor marker(alpha-FP and HCG) was postive in 4 cases(36.4%). 9) Germinoma showed excellent prognosis for the irradiation following a drainage procedure.
Key Words: Pineal region tumor; Germ cell origin tumor; Germinoma; Tumor marker; Radiotherapy
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