| Adult cervical intramedullary teratoma: first reported immature case. | |
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MedLine Citation:
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PMID: 20672967 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Intramedullary teratomas, particularly adult cervicothoracic lesions, are extremely rare. Up to now only 6 cases of intramedullary cervical teratomas have been reported in adults, and all of these were histologically mature. The authors present the case of a 35-year-old man with progressive myelopathic symptoms who was admitted through an outpatient clinic and was surgically treated. The characteristics, diagnosis, epidemiology, and treatment of cervical intramedullary teratomas in adults are also reviewed. Postoperative MR imaging showed that the tumor had been near totally removed, and severely adherent tissue remained ventrocranially with tiny focal enhancement on follow-up MR imaging. Pathological examinations revealed immature teratoma without any malignant component. Adjuvant therapy was not performed. Although no change in neurological findings and symptoms was apparent postoperatively, lesion regrowth was demonstrated on MR imaging 4 months after surgery. At 8 months postoperatively, myelopathic symptoms had developed and a huge intramedullary tumor recurred according to MR imaging. This case is the seventh reported instance of intramedullary cervical teratoma in an adult, and the first case report of the immature type with malignant features. |
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Authors:
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Hong Joo Moon; Bong-Kyung Shin; Joo Han Kim; Jong-Hyun Kim; Taek-Hyun Kwon; Hung-Seob Chung; Youn-Kwan Park |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery. Spine Volume: 13 ISSN: 1547-5646 ISO Abbreviation: J Neurosurg Spine Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-08-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101223545 Medline TA: J Neurosurg Spine Country: United States |
Other Details:
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Languages: eng Pagination: 283-7 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Biopsy Cervical Vertebrae* Humans Laminectomy Magnetic Resonance Imaging* Male Spinal Cord Neoplasms / pathology*, surgery Teratoma / pathology*, surgery |
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