Suprasellar germinoma with shunt metastasis: report of a case with an immunohistochemical characterization of the lymphocyte subpopulations

Surg Neurol. 1986 Jan;25(1):55-61. doi: 10.1016/0090-3019(86)90115-1.

Abstract

A case of suprasellar germinoma metastatic to the peritoneum 3 years after the placement of a ventriculoperitoneal shunt is presented. The excised metastatic germinoma was analyzed immunohistochemically with monoclonal antibodies against human lymphocyte subpopulations. Approximately 80% of the lymphocytes expressed pan-T, or Leu-1, surface antigens, and 20% were B1+, or B cells. Approximately 30% of T cells were Leu-2+, or cytotoxic and suppressor cells; 70% were Leu-3+, or helper cells. The large number of T cells is consistent with their role in cell-mediated immunity; their subpopulation ratio approximated that of the circulation. The literature pertinent to germinoma shunt metastasis is also reviewed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Cerebrospinal Fluid Shunts / adverse effects*
  • Dysgerminoma / diagnostic imaging
  • Dysgerminoma / pathology
  • Dysgerminoma / secondary
  • Dysgerminoma / surgery*
  • Female
  • Histocytochemistry
  • Humans
  • Immunochemistry
  • Lymphocytes / classification*
  • Peritoneal Neoplasms / diagnostic imaging
  • Peritoneal Neoplasms / pathology
  • Peritoneal Neoplasms / secondary
  • Sella Turcica*
  • Skull Neoplasms / diagnostic imaging
  • Skull Neoplasms / surgery*
  • Tomography, X-Ray Computed