Abstract
患儿,男,13岁,因“间断胸痛伴右侧背部、上臂痛2周”就诊。影像学提示前上纵隔和松果体区占位。外周血和脑脊液人绒毛膜促性腺激素均升高。外周血及脑脊液甲胎蛋白正常。纵隔占位病理诊断精原细胞瘤。颅内占位根据影像学特点、血和脑脊液甲胎蛋白正常、脑脊液人绒毛膜促性腺激素轻度升高临床诊断颅内生殖细胞肿瘤,生殖细胞瘤可能性大。经化疗、纵隔肿物切除术、纵隔和全脑放疗,随访11个月完全缓解。.
MeSH terms
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Adolescent
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Brain Neoplasms / diagnosis
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Brain Neoplasms / pathology
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Brain Neoplasms / therapy
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Chorionic Gonadotropin / blood
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Humans
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Magnetic Resonance Imaging
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Male
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Mediastinal Neoplasms* / diagnosis
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Mediastinal Neoplasms* / pathology
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Mediastinal Neoplasms* / therapy
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Neoplasms, Germ Cell and Embryonal* / diagnosis
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Neoplasms, Germ Cell and Embryonal* / pathology
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Neoplasms, Germ Cell and Embryonal* / therapy
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Neoplasms, Multiple Primary / diagnosis
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Neoplasms, Multiple Primary / pathology
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Neoplasms, Multiple Primary / therapy
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Pineal Gland* / pathology
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Pinealoma* / diagnosis
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Pinealoma* / pathology
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Pinealoma* / therapy
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Seminoma / diagnosis
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Seminoma / pathology
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Seminoma / therapy
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Tomography, X-Ray Computed
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alpha-Fetoproteins / analysis
Substances
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Chorionic Gonadotropin
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alpha-Fetoproteins