J Korean Radiol Soc.
2004 Aug;51(2):191-194. 10.3348/jkrs.2004.51.2.191.
Pineal Germinoma with Extracranial Metastases: Case Report
- Affiliations
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- 1Departments of Diagnostic Radiology, College of Medicine, Hanyang University, Korea. srrad@hanyang.ac.kr
- 2Departments of Pathology, College of Medicine, Hanyang University, Korea.
- 3Department of Neurosurgery, College of Medicine, Hanyang University, Korea.
- KMID: 2209225
- DOI: http://doi.org/10.3348/jkrs.2004.51.2.191
Abstract
- Pineal germinoma is the commonest pineal region tumor of childhood and adolescence. Metastatic germinoma most commonly occurs via the cerebrospinal fluid (CSF), and it is usually limited to the cerebrospinal axis. Extacranial hematogenous metastasis is known to be very rare. We report here on a case of pineal germinoma with gradual extracranial metastases that occurred both through the CSF pathway and by hematogenous spread. The patient had multifocal CSF seeding after his surgery for pineal germinoma, and the left iliac metastasis and lung metastasis then occurred.
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