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Year : 2017  |  Volume : 50  |  Issue : 1  |  Page : 32-34

Primary conus medullaris germinoma: A 22-year follow-up

1 Department of Surgery, Neurosurgical Division, Kuo General Hospital, Tainan, Taiwan
2 Department of Surgery, Neurosurgical Division, National Cheng-Kung University College of Medicine and Hospital, Tainan, Taiwan
3 Department of Neurosurgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan

Correspondence Address:
Hsing-Hong Chen
Department of Neurosurgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Road, Xindian, New Taipei City 23142
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_5_17

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Primary intramedullary spinal cord germinoma (PISCG) is very rare, and its preoperative diagnosis is therefore difficult. In addition, its treatment protocols and long-term outcomes are not yet established. Here, we report the case of a patient with a primary conus medullaris germinoma who initially presented with ejaculatory disturbance and coccygeal hypoesthesia. After the total excision of the germinoma and radiotherapy, no tumor recurrence was noted for 22 years. We have also reviewed the distribution of PISCG in spinal segments and its treatment modalities.

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