Pineal region teratoma with metastases in uncommon locations: a case report

Abstract Background We report a rare case in medical literature of a patient with pineal gland teratoma and uncommon metastases. Usually, metastases of this kind of tumor are located in several organs such as lung and breast, but here we found metastases to the spinal cord and vertebrae. Case presen...

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Main Authors: Bayan AlRefaei, Taj Al Haj Husain, Ricarda Alwaw, Fatema Alzahraa Salama, Ghassan Hamzeh
Format: Article
Language:English
Published: BMC 2022-06-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-022-03454-z
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author Bayan AlRefaei
Taj Al Haj Husain
Ricarda Alwaw
Fatema Alzahraa Salama
Ghassan Hamzeh
author_facet Bayan AlRefaei
Taj Al Haj Husain
Ricarda Alwaw
Fatema Alzahraa Salama
Ghassan Hamzeh
author_sort Bayan AlRefaei
collection DOAJ
description Abstract Background We report a rare case in medical literature of a patient with pineal gland teratoma and uncommon metastases. Usually, metastases of this kind of tumor are located in several organs such as lung and breast, but here we found metastases to the spinal cord and vertebrae. Case presentation A 35-year-old Asian white man presented with diplopia and acute neural symptoms in the lower limbs such as numbness, tingling, and paralysis. His medical history was notable for pineal teratoma, treated 1 year previously with surgery, radiotherapy, and chemotherapy. Physical examination of the lower limbs showed absent reflexes and sensation with muscle power scale score of 1 in both limbs. Magnetic resonance imaging of brain and spine revealed many lesions in various locations, most compatible with neural, spinal, and vertebral metastases. Unfortunately, the patient died suddenly before any intervention was carried out. Conclusion It is extremely rare for pineal region teratoma to metastasize to the spinal cord and vertebrae, thus more vigilant observation and examination should be provided to patients with pineal teratoma to detect any new lesions and prevent them from becoming dangerous.
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spelling doaj.art-bcf908901c6a4d3cb00a31412b7aeba92022-12-22T03:38:16ZengBMCJournal of Medical Case Reports1752-19472022-06-011611410.1186/s13256-022-03454-zPineal region teratoma with metastases in uncommon locations: a case reportBayan AlRefaei0Taj Al Haj Husain1Ricarda Alwaw2Fatema Alzahraa Salama3Ghassan Hamzeh4Faculty of Medicine, Damascus UniversityFaculty of Medicine, Damascus UniversityDepartment of Neurology, Al Assad Damascus University HospitalFaculty of Medicine, Damascus UniversityDepartment of Neurology, Al Assad Damascus University HospitalAbstract Background We report a rare case in medical literature of a patient with pineal gland teratoma and uncommon metastases. Usually, metastases of this kind of tumor are located in several organs such as lung and breast, but here we found metastases to the spinal cord and vertebrae. Case presentation A 35-year-old Asian white man presented with diplopia and acute neural symptoms in the lower limbs such as numbness, tingling, and paralysis. His medical history was notable for pineal teratoma, treated 1 year previously with surgery, radiotherapy, and chemotherapy. Physical examination of the lower limbs showed absent reflexes and sensation with muscle power scale score of 1 in both limbs. Magnetic resonance imaging of brain and spine revealed many lesions in various locations, most compatible with neural, spinal, and vertebral metastases. Unfortunately, the patient died suddenly before any intervention was carried out. Conclusion It is extremely rare for pineal region teratoma to metastasize to the spinal cord and vertebrae, thus more vigilant observation and examination should be provided to patients with pineal teratoma to detect any new lesions and prevent them from becoming dangerous.https://doi.org/10.1186/s13256-022-03454-zCase reportCNS tumorsPineal regionTeratomaMetastasis
spellingShingle Bayan AlRefaei
Taj Al Haj Husain
Ricarda Alwaw
Fatema Alzahraa Salama
Ghassan Hamzeh
Pineal region teratoma with metastases in uncommon locations: a case report
Journal of Medical Case Reports
Case report
CNS tumors
Pineal region
Teratoma
Metastasis
title Pineal region teratoma with metastases in uncommon locations: a case report
title_full Pineal region teratoma with metastases in uncommon locations: a case report
title_fullStr Pineal region teratoma with metastases in uncommon locations: a case report
title_full_unstemmed Pineal region teratoma with metastases in uncommon locations: a case report
title_short Pineal region teratoma with metastases in uncommon locations: a case report
title_sort pineal region teratoma with metastases in uncommon locations a case report
topic Case report
CNS tumors
Pineal region
Teratoma
Metastasis
url https://doi.org/10.1186/s13256-022-03454-z
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AT tajalhajhusain pinealregionteratomawithmetastasesinuncommonlocationsacasereport
AT ricardaalwaw pinealregionteratomawithmetastasesinuncommonlocationsacasereport
AT fatemaalzahraasalama pinealregionteratomawithmetastasesinuncommonlocationsacasereport
AT ghassanhamzeh pinealregionteratomawithmetastasesinuncommonlocationsacasereport