Intra-abdominal metastasis of an intracranial germinoma via ventriculo-peritoneal shunt in a 13-year-old female

Br J Neurosurg. 2011 Dec;25(6):747-9. doi: 10.3109/02688697.2011.566383. Epub 2011 Apr 18.

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Neoplasms / diagnosis
  • Abdominal Neoplasms / drug therapy
  • Abdominal Neoplasms / secondary*
  • Adolescent
  • Antineoplastic Agents / administration & dosage
  • Ascites / etiology
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / pathology
  • Brain Neoplasms / radiotherapy
  • Brain Neoplasms / surgery
  • Female
  • Germinoma / diagnosis*
  • Germinoma / radiotherapy
  • Germinoma / secondary
  • Germinoma / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasm Seeding*
  • Pinealoma / diagnosis*
  • Pinealoma / radiotherapy
  • Pinealoma / secondary
  • Pinealoma / surgery
  • Tumor Lysis Syndrome / diagnosis
  • Tumor Lysis Syndrome / metabolism
  • Tumor Lysis Syndrome / therapy*
  • Ventriculoperitoneal Shunt / adverse effects

Substances

  • Antineoplastic Agents