Mature Teratoma with Somatic-Type Malignancy: An Entity of Unacquaintance-A Case Report.

Batuk Diyora, Kavin Devani, Sridhar Epari, Gauri Deshpande, Anup Purandare, Ravi Wankhade
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Abstract

Primary intracranial teratomas are nongerminomatous germ cell tumors. They are infrequent lesions along the craniospinal axis, with their malignant transformation extremely uncommon. A 50-year-old-male patient presented with one episode of generalized tonic-clonic seizure (GTCS), without any neurological deficit. Radiological imaging revealed a large lesion in the pineal region. He underwent gross total excision of the lesion. Histopathological examination was representative of teratoma with adenocarcinomatous malignant transformation. He underwent adjuvant radiation therapy and had an excellent clinical outcome. The present case highlights the rarity of malignant transformation of the primary intracranial mature teratoma.

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成熟畸胎瘤伴躯体型恶性肿瘤:一个不熟悉的实体- 1例报告。
原发性颅内畸胎瘤是非生殖细胞瘤性肿瘤。它们是沿颅脊髓轴少见的病变,其恶性转化极为罕见。一个50岁的男性病人表现为一次全身性强直-阵挛性发作(GTCS),没有任何神经功能障碍。放射影像显示在松果体区有一个大的病变。他接受了病灶的全切除手术。组织病理学检查为畸胎瘤伴腺癌恶性转化的典型。他接受了辅助放射治疗,临床结果很好。本病例强调原发性颅内成熟畸胎瘤恶性转化的罕见性。
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