Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review
Chi-Chih Hsieh, Jui-Sheng Chen Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanCorrespondence: Jui-Sheng Chen, Email dumboschen@gmail.comAbstract: Tumors in the pineal region usually present with acute hydrocephalus. Histologic diagnosis is most important, as it greatl...
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Dove Medical Press
2022-06-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/radiotherapy-after-endoscopic-biopsy-in-an-adult-with-pineocytoma-the--peer-reviewed-fulltext-article-IMCRJ |
| _version_ | 1818237077089681408 |
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| author | Hsieh CC Chen JS |
| author_facet | Hsieh CC Chen JS |
| author_sort | Hsieh CC |
| collection | DOAJ |
| description | Chi-Chih Hsieh, Jui-Sheng Chen Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanCorrespondence: Jui-Sheng Chen, Email dumboschen@gmail.comAbstract: Tumors in the pineal region usually present with acute hydrocephalus. Histologic diagnosis is most important, as it greatly influences treatment, because over 17 tumor types occur in this area. Biopsies of these lesions play an important role in further management. Pineocytomas are benign and rare tumors that typically exhibit a slow progression. However, the appropriate treatment for pineocytoma varies. Surgical excision was considered for good long-term outcomes; however, this may not always be possible. Radiotherapy also appears to be effective in patients with residual pineocytomas. We report a case of pineocytoma with hemorrhagic transformation and complicated hydrocephalus. The patient refused to undergo aggressive tumor excision. Thus, the patient only underwent endoscopic biopsy and external ventricular drain (EVD) implantation, but the outcome was acceptable. In addition, we reviewed the current management strategies for pineocytomas in the literature.Keywords: pineocytoma, pineal tumor, hydrocephalus, biopsy, subtotal resection |
| first_indexed | 2024-12-12T12:20:01Z |
| format | Article |
| id | doaj.art-f93f3410ec7d4ccfa7bcbaf3302cf959 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-12-12T12:20:01Z |
| publishDate | 2022-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-f93f3410ec7d4ccfa7bcbaf3302cf9592022-12-22T00:24:41ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2022-06-01Volume 1530731176033Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature ReviewHsieh CCChen JSChi-Chih Hsieh, Jui-Sheng Chen Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, TaiwanCorrespondence: Jui-Sheng Chen, Email dumboschen@gmail.comAbstract: Tumors in the pineal region usually present with acute hydrocephalus. Histologic diagnosis is most important, as it greatly influences treatment, because over 17 tumor types occur in this area. Biopsies of these lesions play an important role in further management. Pineocytomas are benign and rare tumors that typically exhibit a slow progression. However, the appropriate treatment for pineocytoma varies. Surgical excision was considered for good long-term outcomes; however, this may not always be possible. Radiotherapy also appears to be effective in patients with residual pineocytomas. We report a case of pineocytoma with hemorrhagic transformation and complicated hydrocephalus. The patient refused to undergo aggressive tumor excision. Thus, the patient only underwent endoscopic biopsy and external ventricular drain (EVD) implantation, but the outcome was acceptable. In addition, we reviewed the current management strategies for pineocytomas in the literature.Keywords: pineocytoma, pineal tumor, hydrocephalus, biopsy, subtotal resectionhttps://www.dovepress.com/radiotherapy-after-endoscopic-biopsy-in-an-adult-with-pineocytoma-the--peer-reviewed-fulltext-article-IMCRJpineocytomapineal tumorhydrocephalusbiopsysubtotal resection |
| spellingShingle | Hsieh CC Chen JS Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review International Medical Case Reports Journal pineocytoma pineal tumor hydrocephalus biopsy subtotal resection |
| title | Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review |
| title_full | Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review |
| title_fullStr | Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review |
| title_full_unstemmed | Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review |
| title_short | Radiotherapy After Endoscopic Biopsy in an Adult with Pineocytoma, the Rare Brain Tumor in an Adult: A Case Report and Literature Review |
| title_sort | radiotherapy after endoscopic biopsy in an adult with pineocytoma the rare brain tumor in an adult a case report and literature review |
| topic | pineocytoma pineal tumor hydrocephalus biopsy subtotal resection |
| url | https://www.dovepress.com/radiotherapy-after-endoscopic-biopsy-in-an-adult-with-pineocytoma-the--peer-reviewed-fulltext-article-IMCRJ |
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