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Minerva Ginecologica 2007 April;59(2):199-201

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Supratentorial primitive neuroectodermal tumor during pregnancy. Case report

Ulivieri S. 1, Oliveri G. 1, Filosomi F. 2, Petraglia F. 2

1 Department of Neurosurgery, Santa Maria alle Scotte Hospital, Siena, Italy 2 Department of Obstetrics and Gynecology, Santa Maria alle Scotte Hospital, Siena, Italy


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The case of an 18-year-old primipara in the second trimester of pregnancy affected by a primitive supratentorial mass is described. Main symptoms of increased intracranial pressure were severe headache, diplopia, and left hemiparesis. In the 20th week of pregnancy a fronto-temporal craniotomy was performed with complete excision of the tumor. Immunohisto-chemical analysis showed a primitive neuroectodermal tumor (PNET). Three months after being discharged, the patient still presented headache and apathy, and a magnetic resonance imaging scan again showed the presence of a temporal lesion; therefore, after caesarean delivery the second surgical resection of the tumor was performed. Combined chemo-therapy and radiotherapy was required.

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