非松果体区生殖细胞瘤误诊12例分析

Analysis of Misdiagnosis of 12 Patients with Non-pineal Region Germinomas

目的 为降低非松果体区生殖细胞瘤的误诊率。方法 对近 5 a来误诊的非松果体区生殖细胞瘤 12例的临床资料加以总结。结果 5例误诊为颅咽管瘤 ,3例误诊为垂体瘤 ,3例误诊为胶质瘤 ,1例误诊为转移瘤。结论 凡年龄在 13岁左右的患儿 ,如出现尿崩症或一侧肢体乏力 ,应考虑本症可能 ;如进一步发现松果体区病灶 ,即可确诊 ;

Objective To lower the rate of misdiagnosis of non pineal region germinomas.Methods The clinical data of 12 cases of non pineal region germinomas which were misdiagnosed were analysed.Results 5 cases were misdiagnosed as craniopharyngioma,3 as pituitary adenoma,3 as gliomasm and 1 as metastatic brain tumor.Conclusions If apperadiabetes insipidus or extremity weakness turned up and the patients were at the age of 13, non pineal region germinomas should be considered, and if focus was found in pineal region, the diagnosis of this disease should be made. Experimental radiotherapy could be performed if necessary.