Combined microscope and endoscopy total resection of primary pineal malignant melanoma: case report and literature revie
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REVIEW – CLINICAL ONCOLOGY
Combined microscope and endoscopy total resection of primary pineal malignant melanoma: case report and literature review Jibo Zhang1,2 · Zhongwei Xiong1 · Jincao Chen1 Received: 21 April 2020 / Accepted: 18 July 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Background Primary pineal malignant melanoma (PPMM) is a rare entity of primary central nervous system melanomas, with only 26 cases reported in the literature to date. Case presentation We report the case of a 65-year-old male with a PPMM who has prolonged survival of more than 104 weeks after combined microsurgical and endoscopic total resection. This is the first report: combined microscope and endoscopy total resection; PPMM in China; PPMM with total resection alone. Conclusion Combined microscope and endoscopy total resection is beneficial to prolong the survival of patients. But the best approach to treatment needs verification from more clinical cases in future. Keywords Primary pineal malignant melanoma · PPMM · Combined microscope and endoscopy · Total resection Abbreviations CSF Cerebrospinal fluid CT Computed tomography ES Endoscopic-assisted surgery MRI Magnetic resonance imaging MS Microsurgery PET Positron emission tomography PPMM Primary pineal malignant melanoma
Introduction Primary pineal malignant melanoma (PPMM) is an exquisite rarity with only 26 cases reported till date in available literature (Ogle 1899; Stoerk 1904; Foot and Zeek 1931; Gibson et al. 1957; Enriquez et al. 1973; Arlant et al. 1977; Carlson et al. 1987; Weindling et al. 1988; Rubino et al. 1993; Yamane et al. 1994; Mitchell et al. 1998; Czirják et al. 2000; Suzuki et al. 2001; Bookland et al. 2007; Barron et al. Jibo Zhang and Zhongwei Xiong contributed equally to this work. * Jincao Chen [email protected] 1
Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan 430071, China
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA
2
2007; Martin-Blondel et al. 2009; Cedeño Diaz et al. 2011; Arantes et al. 2011; Shinsato et al. 2012; Azimi et al. 2012; Park and Hong 2014; Biswas and Chaudhari 2015; Jetschke et al. 2015; Wendel et al. 2018; Hajhouji et al. 2019; Famoso et al. 2019). For neurologists, PPMM has too many questions and unknowns, because there is no conclusion on how to treat it. Different doctors have different opinions on whether to operate, radiotherapy or chemotherapy. Combined microscope and endoscopy technique is a good way to treat pineal region tumor in our center (Xin et al. 2020). It can ensure that the tumor can be resected to the greatest extent. Here we report a rare case of PPMM with favorable outcome, which is the first report: combined microscope and endoscopy total resection; PPMM in China; PPMM with total resection alone. We also viewed 26 previously reported articles to learn as much as possible about the disease.
Case description A 65-year-old male presented to our Neurosurgery Department with a 3-week history o
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