非松果体区生殖细胞瘤的诊断

Diagnosis of Non-pineal Region Germinomas

目的:探讨非松果体区生殖细胞瘤的诊断依据。方法:对11例非松果体区生殖细胞瘤的临床资料加以分析。结果:本组均为青少年,年龄7～16岁,平均12岁。7例位于鞍上,6例主要表现为尿崩症;4例位于基底节区,主要症状为对侧偏瘫。结论:凡年龄在13岁左右的患儿,如出现尿崩症或一侧偏瘫,应考虑本症可能;如进一步发现松果体区病灶,即可确诊;必要时可结合实验室检查。

Objective: To study the diagnosis gists of non-pineal region germinomas. Methods:The clinical data of 11 cases of non-pineal region germinomas were reviewed. Results: In this group, all the patients were juveniles. The ages of their were 7 to 16 years old. The average age was 12 years old. The lesions of 7 cases were located in suprasellar region. Common symptoms of 6 cases in this group was diabetes insipidus. The lesions of 4 cases were located in basal ganglion region. Common symptoms and signs were hemiparesis. Conclusion: All the patients in about thirteen years old, if appear diabetes insipidus or hemiparesis, the possibility of non-pineal region germinoma must be taken into account. If a similar focus was found in pineal region, the diagnosis of this disease should be made. It was better to combine with laboratory examination if needed.