Right occipital transtentorial approach for a pineal malignant germ cell tumor

Germ cell tumors account for up to 53% of the malignant lesions found in the pineal region and are typically managed with a combination of radiation therapy and chemotherapy. Malignant somatic transformation of intracranial germ cell tumors is exceedingly rare and has only been reported on two other...

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Published inNeurosurgical Focus: Video Vol. 5; no. 1; p. V3
Main Authors Gill, Brian J. A., Higgins, Dominique M., Banu, Matei A., Argenziano, Michael G., Feldstein, Neil A., Bruce, Jeffrey N.
Format Journal Article
LanguageEnglish
Published American Association of Neurological Surgeons 01.07.2021
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Summary:Germ cell tumors account for up to 53% of the malignant lesions found in the pineal region and are typically managed with a combination of radiation therapy and chemotherapy. Malignant somatic transformation of intracranial germ cell tumors is exceedingly rare and has only been reported on two other occasions. Here the authors present the case of a pineal yolk sac tumor that failed optimum first-line treatment and underwent malignant somatic transformation to an enteric mucinous adenocarcinoma requiring surgical intervention. This video demonstrates the technical nuances of the occipital transtentorial approach and the safe microsurgical dissection of lesions within the pineal region. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2151 .
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INCLUDE WHEN CITING DOI: 10.3171/2021.4.FOCVID2151.
Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.
ISSN:2643-5217
2643-5217
DOI:10.3171/2021.4.FOCVID2151