Synchronous pineal and suprasellar germinomas

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 tumor. About 5% to 10% of all germ cell tumors 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: 13th May 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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