Synchronous pineal and suprasellar germinoma

Case contributed by Dr Hidayatullah Hamidi

Presentation

Headache and poor vision.

Patient Data

Age: 8 years
Gender: Female

Non-enhanced images show hyperdense lesions (due to hyper hypercellularity) in the pineal and suprasellar regions. Both the lesions show intense homogenous post contrast enhancement. Large area of cystic formation is seen in the suprasellar region.

Case Discussion

In this age group, this pattern of lesion suggests a germ cell tumour. About 5% to 10% of all germ cell tumours are found simultaneously in both the pineal and suprasellar region.

Unfortunately, no histology is available to confirm the diagnosis. 

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Case information

rID: 63609
Published: 10th Oct 2018
Last edited: 13th Oct 2018
Inclusion in quiz mode: Included

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