Table of Contents

HK J Paediatr (New Series)
Vol 25. No. 3, 2020

HK J Paediatr (New Series) 2020;25:177-181

Case Report

Never Forget Germ Cell Tumour in Cranial Diabetes Insipidus: Its Atypical Presentation and Management
在顱腦性尿崩症中牢記生殖細胞瘤:其非典型臨床表現和治療

SWY To, ACC Fu, SC Ling


Abstract

Germ cell tumours are frequently associated with endocrine complications, but they may not be evident on the initial cranial imagings. We report an adolescent boy who presented with cranial diabetes insipidus. It was until his sixth set of magnetic resonant imaging which showed the presence of tumour, throughout the period he already developed full-blown panhypopituitarism. Physicians need to be aware of the possibility of germ cell tumours for cranial diabetes insipidus even their first few sets of cranial imagings are not informative. Appropriate hormonal and tumour management are also discussed.

生殖細胞瘤常伴有內分泌併發症,但初期顱腦影像檢查可能沒有證據。作者報告一例青少年,表現為顱腦性尿崩症。一直到第六次磁共振檢查顯示腫瘤表現,期間他已經發展成全面表現的全垂體功能減退症。對於顱腦性尿崩症,醫生需要警覺生殖細胞瘤的可能,儘管其初期顱腦影像檢查沒有徵象。文中也論及適當的激素和腫瘤治療。

Keyword : Central diabetes insipidus; Germinoma; Panhypopituitarism

關鍵詞:中樞性尿崩症、生殖細胞瘤、全垂體功能減退症

 
 

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