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Peripheral primitive neuroectodermal tumor of the jugular foramen: case report
Takamasa Yamazaki1, Takao Kuroki, Mikiro Katsume
1Department of Neurosurgery, Sakura Hospital, Toho University School of Medicine, 564-1 Shimoshizu, Sakura-shi, Chiba 285-0841, Japan. neurosurg@sakura.med.toho-u.ac.jp
Neurosurgery
|October 18, 2002
Summary
This case report details a rare peripheral primitive neuroectodermal tumor (pPNET) in the jugular foramen. The aggressive tumor showed rapid progression and poor prognosis despite surgical intervention.
Area of Science:
- Neuro-oncology
- Pathology
Background:
- Peripheral primitive neuroectodermal tumor (pPNET) is a rare malignancy typically affecting children and young adults in the limbs.
- Jugular foramen tumors are uncommon, with diverse origins and clinical presentations.
Observation:
- A 23-year-old male presented with progressive hoarseness and dysphagia.
- Neuroradiological imaging revealed a tumor at the jugular foramen.
- The patient underwent partial tumor resection via a far lateral suboccipital craniotomy.
Findings:
- Postoperative deterioration in consciousness occurred.
- Magnetic resonance imaging showed rapid expansion of residual tumor into the posterior fossa.
- Pathological diagnosis confirmed pPNET via hematoxylin and eosin and immunohistochemical staining.
Implications:
- This is the first reported case of pPNET originating at the jugular foramen.
- The rapid progression and poor outcome highlight the aggressive nature of this rare tumor in this location.
- Further research into the management of jugular foramen pPNET is warranted.
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