Korean J Med.  2018 Aug;93(4):404-408. 10.3904/kjm.2018.93.4.404.

A Rare Case of Primary Spinal Cord Germinoma Treated with Single Radiation Therapy after Surgery

Affiliations
  • 1Division of Medical Oncology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ihkmd@catholic.ac.kr
  • 2Department of Pathology, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

A 32-year old male came to our hospital with chief complaint of paraplegia. He had symptom of radiating pain to right leg 3 months ago before paraplegic symptom appeared. Magnetic resonance (MR) imaging from outside hospital showed intramedullary mass involving from T8 to T10 level of spinal cord. According to the imaging result, tumor removal with total laminectomy was performed between T8 and T10 level in our hospital. Pathologic result was compatible with germinoma. Spine radiation (39.6 Gy/22 fx) from T7 to T12 level without chemotherapy was performed 3 weeks later since tumor removal. Follow-up MR imaging showed no recurrence without any distant metastasis. And our patient's neurologic symptom had been improved. According to this case, postoperative radiotherapy is thought to be effective to primary spinal germinoma.

Keyword

Germinoma; Spinal cord; Radiotherapy

MeSH Terms

Drug Therapy
Follow-Up Studies
Germinoma*
Humans
Laminectomy
Leg
Magnetic Resonance Imaging
Male
Neoplasm Metastasis
Neurologic Manifestations
Paraplegia
Radiotherapy
Recurrence
Spinal Cord*
Spine
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