Synchronous pineal and suprasellar germinoma
Presentation
Headache and poor vision.
Patient Data
Age: 8 years
Gender: Female
From the case:
Synchronous pineal and suprasellar germinoma
CT
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Axial non-contrast
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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