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Journal of Case Reports
Adult Pineoblastoma
Ramesh Banu1, Murugaiyan Nagarajan1, Arumugham Rajkumar2
Departments of 1Radiation Oncology and 2Medical Oncology, Valavadi Narayanasamy Cancer Centre, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore-641037, Tamil Nadu, India.
Corresponding Author:
Dr. Murugaiyan Nagarajan
Email: mnr81@yahoo.com
Received: 25-APR-2019 Accepted: 19-SEP-2019 Published Online: 10-OCT-2019
DOI: http://dx.doi.org/10.17659/01.2019.0055
Background: Pineoblastoma are rare and aggressive tumors with only few studies evaluating the therapeutic strategies on this condition. Hence we report a case of pineoblastoma in an adult patient treated with cranio-spinal irradiation (CSI) and chemotherapy following surgery. Case Report: A  27 year old female presented with double vision associated with headache. MRI brain showed a heterogenous enhancing polypoidal mass lesion in the posterior aspect of third ventricle. She underwent gross total excision of the lesion. Post-operative histopathological examination was consistent with pineoblastoma (grade IV). She was treated with CSI and concurrent chemotherapy. Conclusion: The treatment for adults with pineoblastoma consists of surgery followed by craniospinal radiotherapy with or without addition of chemotherapy.
Keywords : Craniospinal Irradiation, Diplopia, Headache, Magnetic Resonance Imaging, Pinealoma, Spine, Third Ventricle.
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