Primary Intramedullary Spinal Cord Germinoma: Diagnostic Challenge and Treatment Strategy —Two Case Reports—

Toru YAMAGATA; Toshihiro TAKAMI; Naohiro TSUYUGUCHI; Takeo GOTO; Kenichi WAKASA; Kenji OHATA

doi:10.2176/nmc.49.128

Case Reports

Primary Intramedullary Spinal Cord Germinoma: Diagnostic Challenge and Treatment Strategy

—Two Case Reports—

Toru YAMAGATA, Toshihiro TAKAMI, Naohiro TSUYUGUCHI, Takeo GOTO, Kenichi WAKASA, Kenji OHATA

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Keywords: chemotherapy, germinoma, radiotherapy, spinal cord tumor

JOURNAL OPEN ACCESS

2009 Volume 49 Issue 3 Pages 128-133

DOI https://doi.org/10.2176/nmc.49.128

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Abstract

Two patients presented with primary intramedullary spinal cord germinoma (PISCG). Neither diagnosis was correct at initial evaluation, and both underwent surgical verification of the tumor. Based on the histological diagnosis, both patients were treated successfully by combination of chemotherapy and radiotherapy. These cases illustrate the unexpected occurrence of PISCG and treatment strategy.

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