Intra-abdominal Metastasis of an Intracranial Germinoma Via Ventriculo-peritoneal Shunt in a 13-year-old Female

Overview

Journal Br J Neurosurg

Specialty Neurosurgery

Date 2011 Apr 20

PMID 21501064

Citations 13

Authors

Matthew J Murray

Lucy E Metayer

Conor L Mallucci

Juliet P Hale

James C Nicholson

Ramez W Kirollos

G A Amos Burke

Affiliations

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Abstract

A 13-year-old patient presented with massive intra-abdominal metastasis and spontaneous acute tumour lysis syndrome, 17-months after VP shunt placement for metastatic pineal germinoma treated with cranio-spinal-irradiation. Hyperhydration/rasburicase improved renal function, allowing chemotherapy with subsequent surgery. The patient remains event-free 34-months later. Risk of intra-abdominal metastasis from VP shunts is discussed.

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