NDLI: INITIAL SYMPTOMS OF PINEAL REGION TUMORS - COMPARISON TO HISTORICAL CONTROL OF PRE-CT ERA -

Content Provider	PubMed Central
Author	Fujimaki, Takamitsu Fukuoka, Kohei Shirahata, Mitsuaki Suzuki, Tomonari Adachi, Jun-ichi Yanagisawa, Takaaki Mishima, Kazuhiko Wakiya, Kenji Matsutani, Masao Nishikawa, Ryo
Copyright Year	2014
Abstract	BACKGROUND: The initial symptoms of pineal region tumors might vary according to histology and era. METHODS: The initial symptoms of 39 pineal region tumors who were treated at the International Medical Center, Saitama Medical University and whose initial clinical symptoms were well documented on charts were analyzed. Those symptoms were compared with those of historical control (HC) of 26 "pienalomas" (1), who were treated at the University of Tokyo in pre-CTera (mostly germ cell tumors, but some without histological confirmation). RESULTS: There were 32 germ cell tumors (germinoma 20, non-germinomatous germ cell tumors (NGGCT) 12) and 6 pineal parenchymal tumors (PPT). Increased intracranial pressure (IICP) was observed in 20 cases (51%) which was slightly less than the HC (66.7%) (P = 0.17), The IICP was observed 40% of cases in germinoma, 83.3% in NGCGCT and 33.3% in PPT. Eye movement disorder was observed in 18 of 39 patients (47%) wheres that was only in 12 (33.3%) in the HC (P= 0.26). Abnormality in pupils was observed in 33.3% in the study cohort and in 25% in HC (P = 0.43). Diabetes insipidus, which suggests the presence of multifocal lesion involving hypothalamus was observed in 25% of GCTs of study cohort and in 19.4% in the HC. CONCLUSIONS: With the advancement of modern imaging modalities and accessibility to neurosurgical practice, the clinical pictures of pineal region tumors have been slightly changed but not significantly. Current pineal region tumors tend to be found a little earlier than the pre-CT era. (1) Fujimaki T. Ryoikibetsu-shoukougun series, 2000 SECONDARY CATEGORY: Epidemiology & Cancer Control.
Related Links	http://dx.doi.org/10.1093/neuonc/nou206.8
Starting Page	3
File Format	PDF
ISSN	15228517
e-ISSN	15235866
Journal	Neuro-Oncology
Issue Number	Suppl 3
Volume Number	16
Language	English
Publisher	Oxford University Press
Publisher Date	2014-07-01
Access Restriction	Open
Rights Holder	Oxford University Press
Subject Keyword	Cancer Research Oncology Clinical Neurology Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Cancer Research Neurology (clinical) Oncology

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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