Spinal cord compression of primary extragonadal giant yolk sac tumor

Basit Öğe Kaydı
dc.contributor.authorGuzel, A.
dc.contributor.authorTatli, M.
dc.contributor.authorBelen, D.
dc.contributor.authorSeckin, H.
dc.date.accessioned2024-04-24T16:24:04Z
dc.date.available2024-04-24T16:24:04Z
dc.date.issued2007
dc.departmentDicle Üniversitesien_US
dc.description.abstractStudy design: Case report. Objective: To report an adult male patient witha primary extragonadal giant yolk sac tumor presenting with acute spinal cord compression. Setting: Faculty of Medicine, University of Dicle, Diyarbakir, Turkey. Method: A 31-year-old man was referred to our department witha diagnosis of Pott's disease, a complaint of back pain and gait difficulty for 2 weeks. Neurological examination showed spastic paraparesis and hypoesthesia below the L2 dermatome level. He also had urinary incontinence. Abdominal computed tomography and lumbar magnetic resonance imaging study revealed a giant cystic mass lesion located in the psoas muscle. Posteriorly, the third lumbar vertebral body was destructed and the tumor was compressing the dural sac. A combined anterior and posterior approach was performed. Pathological diagnosis was a yolk sac tumor. Result: His neurological status improved during the postoperative course. A chemotherapy protocol was given including bleomycin, etoposide and cisplatin. Five months after the last chemotherapy, he was brought to the emergency unit in sepsis and died despite antibiotherapy. Conclusion: Yolk sac tumor should be considered in young adult male patients presenting with acute paraparesis even without any signs or medical history of a testis tumor. These tumors may be unresectable; however, decompression of neural structures and stabilization of the spine with instrumentation may cause substantial improvement in neurological deficit and pain relief.en_US
dc.identifier.doi10.1038/sj.sc.3101942
dc.identifier.endpage257en_US
dc.identifier.issn1362-4393
dc.identifier.issn1476-5624
dc.identifier.issue3en_US
dc.identifier.pmid16733519
dc.identifier.scopus2-s2.0-33847370729
dc.identifier.scopusqualityQ1
dc.identifier.startpage254en_US
dc.identifier.urihttps://doi.org/10.1038/sj.sc.3101942
dc.identifier.urihttps://hdl.handle.net/11468/16460
dc.identifier.volume45en_US
dc.identifier.wosWOS:000244570800008
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherNature Publishing Groupen_US
dc.relation.ispartofSpinal Cord
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdulten_US
dc.subjectLumbar Columnen_US
dc.subjectParaparesisen_US
dc.subjectPrimary Yolk Sac Tumoren_US
dc.titleSpinal cord compression of primary extragonadal giant yolk sac tumoren_US
dc.titleSpinal cord compression of primary extragonadal giant yolk sac tumor
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu