nach oben

Erschienen in:

18.06.2019 | Case Report - Brain Tumors

Endonasal surgery for suprasellar germ cell tumors: two cases and review of the literature

verfasst von: Mohamed M. Arnaout, Mina M. Gerges, Matthew D. Cummock, Abad Cherif El Asri, Jeffrey P. Greenfield, Vijay K. Anand, Theodore H. Schwartz

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2019

Einloggen, um Zugang zu erhalten

Abstract

Germ cell tumors are rare malignant tumors frequently located in the suprasellar region. Definitive treatment is chemotherapy and radiation. However, in some circumstances, surgery is indicated for biopsy or resection. There are limited reports of the role of the endonasal endoscopic approach (EEA) in the management of this tumor. We present two cases in which EEA was utilized for successful management of germ cell tumor. The most challenging aspect of germ cell tumor management for the treating physician is knowing the proper indications for surgery. In this paper, we highlight two specific instances, namely diagnosis and tumor refractory to chemoradiation. Given the suprasellar location, EEA is an ideal approach.

Ajayi O, Chakravarthy V, Hanna G, Reyes KD (2016) Surgical technique: endoscopic endonasal transphenoidal resection of a large suprasellar mixed germ cell tumor. Cureus 8(2)

Baskin DS, Wilson CB (1983) Transsphenoidal surgery of intrasellar germinomas: report of two cases. J Neurosurg 59:1063–1066CrossRef

Ceylan S, Koc K, Anik I (2009) Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev 32:309CrossRef

Couldwell WT, Weiss MH, Rabb C, Liu JK, Apfelbaum RI, Fukushima T (2004) Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery 55:539–550CrossRef

de Divitiis E, Cavallo LM, Cappabianca P, Esposito F (2007) Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: PART 2. Neurosurgery 60:46–59CrossRef

Dehdashti AR, Ganna A, Witterick I, Gentili F (2009) Expanded endoscopic endonasal approach for anterior cranial base and suprasellar lesions: indications and limitations. Neurosurgery 64:677–689CrossRef

Di Somma A, Bronzoni C, Guadagno E, Solari D, Dell’Aversana GO, De Caro BMDB, Cappabianca P (2014) The “extended” endoscopic endonasal approach for the removal of a mixed intrasuprasellar germinoma: technical case report. Surg Neurol Int 5:14CrossRef

Douglas-Akinwande AC, Mourad A, Pradhan K, Hattab E (2006) Primary intracranial germinoma presenting as a central skull base lesion. Am J Neuroradiol 27:270–273PubMed

Echevarría ME, Fangusaro J, Goldman S (2008) Pediatric central nervous system germ cell tumors: a review. Oncologist 13:690–699CrossRef

10.

Endo T, Kumabe T, Ikeda H, Shirane R, Yoshimoto T (2002) Neurohypophyseal germinoma histologically misidentified as granulomatous hypophysitis. Acta Neurochir 144:1233–1237CrossRef

11.

Frank G, Pasquini E, Doglietto F, Mazzatenta D, Sciarretta V, Farneti G, Calbucci F (2006) The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:ONS–75-ONS-83CrossRef

12.

Fukushima T, Takemura Y, Tsugu H, Iwaasa M, Nabeshima K, Takano K, Utsunomiya H (2007) Neurohypophyseal granulomatous germinoma invading the right cavernous sinus: case report and review of the literature. Pediatr Neurosurg 43:297–302CrossRef

13.

Ghatak NR, Hirano A, Zimmerman HM (1969) Intrasellar germinomas: a form of ectopic pinealoma. J Neurosurg 31:670–675CrossRef

14.

Gotoda H, Fujita M, Inoue K, Nagashima K, Sawamura Y, Tada M, Abe H, Oka K, Yanagida N, Nanjo H (1996) Cerebral germinoma with marked granulomatous inflammation: granulomatous germinoma. Neuropathology 16:165–171CrossRef

15.

Guzzo MF, Bueno CBF, Amancio TT, Rosemberg S, Bueno C, Arioli EL, Glezer A, Bronstein MD (2013) An intrasellar germinoma with normal tumor marker concentrations mimicking primary lymphocytic hypophysitis. Arq Bras Endocrinol Metab 57:566–570CrossRef

16.

Huo L, Wang X, Allen PK, Wang L, Liao Y, Han Z, Shen L, Tu Q, Zhong M, Zhuang Y, Li J (2015) Predictors of long-term survival following postoperative radiochemotherapy for pathologically confirmed suprasellar germ cell tumors. Mol Clin Oncol 3:430–434CrossRef

17.

Jho H-D, Ha H-G (2004) Endoscopic endonasal skull base surgery: part 1-The midline anterior fossa skull base. Minim Invasive Neurosurg 47:1–8CrossRef

18.

Kageyama N, Belsky R (1961) Ectopic pinealoma in the chiasma region. Neurology 11:318–318PubMed

19.

Kasper CS, Schneider NR, Childers JH, Wilson JD (1983) Suprasellar germinoma: unresolved problems in diagnosis, pathogenesis, and management. Am J Med 75:705–711CrossRef

20.

Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 19:1–12

21.

Konno S, Oka H, Utsuki S, Kondou K, Tanaka S, Fujii K, Yagishita S (2002) Germinoma with a granulomatous reaction. Problems of differential diagnosis. Clin Neuropathol 21:248–251PubMed

22.

Kouri JG, Chen MY, Watson JC, Oldfield EH (2000) Resection of suprasellar tumors by using a modified transsphenoidal approach: report of four cases. J Neurosurg 92:1028–1035CrossRef

23.

Laufer I, Anand VK, Schwartz TH (2007) Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions. J Neurosurg 106:400–406CrossRef

24.

Louis DN, Perry A, Reifenberger G, Von Deimling A, Figarella-Branger D, Cavenee WK, Ohgaki H, Wiestler OD, Kleihues P, Ellison DW (2016) The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol 131:803–820CrossRef

25.

Martens T, Rotermund R, Zu Eulenburg C, Westphal M, Flitsch J (2014) Long-term follow-up and quality of life in patients with intracranial germinoma. Neurosurg Rev 37:445–451CrossRef

26.

Mascarenhas L, Moshel YA, Bayad F, Szentirmai O, Salek AA, Leng LZ (2014) The transplanum transtuberculum approaches for suprasellar and sellar-suprasellar lesions: avoidance of cerebrospinal fluid leak and lessons learned. World Neurosurg 82:186–195CrossRef

27.

Mesquita Filho PM, Santos FP, Köhler LR, Manfroi G, De Carli F, de Araujo MA, Schwingel D (2018) Suprasellar germinomas: two case reports and literature review. World Neurosurg https://doi.org/10.1016/j.wneu.2018.06.041

28.

Mikami-Terao Y, Akiyama M, Yanagisawa T, Takahashi-Fujigasaki J, Yokoi K, Fukuoka K, Sakuma M, Miyata I, Fujisawa K, Oi S, Eto Y (2006) Lymphocytic hypophysitis with central diabetes insipidus and subsequent hypopituitarism masking a suprasellar germinoma in a 13-year-old girl. Childs Nerv Syst 22:1338–1343CrossRef

29.

Muroi A, Takano S, Fukushima T, Shimizu T, Matsumura A (2012) Intracranial germinoma manifesting as cavernous sinus syndrome. Neurol Med Chir 52:754–756CrossRef

30.

Nitta N, Fukami T, Nozaki K (2013) Germinoma in two brothers: case report. Neurol Med Chir 53:703–706CrossRef

31.

Phi JH, Kim SK, Lee YA, Shin CH, Cheon JE, Kim IO, Yang SW, Wang KC (2013) Latency of intracranial germ cell tumors and diagnosis delay. Childs Nerv Syst 29:1871–1881CrossRef

32.

Sawamura Y, de Tribolet N, Ishii N, Abe H (1997) Management of primary intracranial germinomas: diagnostic surgery or radical resection? J Neurosurg 87:262–266CrossRef

33.

Schwartz TH, Anand VK (2007) The endoscopic endonasal transsphenoidal approach to the suprasellar cistern. Clin Neurosurg 54:226PubMed

34.

Shimizu K, Mineharu Y, Imamura H, Asai K, Imai Y, Ichimura K, Sakai N (2014) Intracranial germinomas in a father and his son. Childs Nerv Syst 30:2143–2146CrossRef

35.

Simson LR, Lampe I, Abell MR (1968) Suprasellar germinomas. Cancer 22:533–544CrossRef

36.

Thakar S, Furtado S, Ghosal N, Hegde A (2013) Intracranial germ cell tumor mimicking granulomatous inflammation. Neurol India 61:433CrossRef

37.

Utsuki S, Oka H, Tanizaki Y, Kondo K, Kawano N, FUJII K (2006) Histological features of intracranial germinomas not disappearing immediately after radiotherapy. Neurol Med Chir 46:429–433CrossRef

38.

Wong C, Phang H, Cheong M, Ramiah R (2012) Multiple atraumatic osteoporotic vertebral fractures in an adolescent with suprasellar germinoma: a case report. Malays Orthop J 6:54CrossRef

39.

Wong JM, Chi SN, Marcus KJ, Levine B-S, Ullrich NJ, MacDonald S, Lechpammer M, Goumnerova LC (2010) Germinoma with malignant transformation to nongerminomatous germ cell tumor: case report. J Neurosurg Pediatr 6:295–298CrossRef

40.

Yen S-H, Chen Y-W, Huang P-I, Wong T-T, Ho DM-T, Chang K-P, Liang ML, Chiou SH, Lee YY, Chen HH (2010) Optimal treatment for intracranial germinoma: can we lower radiation dose without chemotherapy? Int J Radiat Oncol Biol Phys 77:980–987CrossRef

41.

Zoli M, Mazzatenta D, Valluzzi A, Marucci G, Acciarri N, Pasquini E, Frank G (2014) Expanding indications for the extended endoscopic endonasal approach to hypothalamic gliomas: preliminary report. Neurosurg Focus 37:E11CrossRef

Titel: Endonasal surgery for suprasellar germ cell tumors: two cases and review of the literature
verfasst von: Mohamed M. Arnaout
Mina M. Gerges
Matthew D. Cummock
Abad Cherif El Asri
Jeffrey P. Greenfield
Vijay K. Anand
Theodore H. Schwartz
Publikationsdatum: 18.06.2019
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 8/2019
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-03969-3

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

25.04.2024 | Hypotonie | Nachrichten

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Endonasal surgery for suprasellar germ cell tumors: two cases and review of the literature

Abstract

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2019

The delicate topic of progress

The approach angle to the interoptic triangle limits surgical workspace when targeting the contralateral internal carotid artery

Prospective randomized feasibility study comparing manual vs. automatic position-adaptive spinal cord stimulation with surgical leads

WEB-only treatment of ruptured and unruptured intracranial aneurysms: a retrospective analysis of 47 aneurysms

Telemetric home monitoring of intracranial pressure—where are we now

Machine learning—aided personalized DTI tractographic planning for deep brain stimulation of the superolateral medial forebrain bundle using HAMLET

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie