AI Article Synopsis

  • Intracranial germ cell tumors (GCTs) are rare, harmful tumors that usually show up around puberty, especially in the pineal region of the brain.
  • A 20-year-old boy had a pineal germinoma, which caused him to vomit and feel less conscious; doctors used MRI scans to find the tumor and placed a special device to relieve pressure in his brain.
  • There isn't a clear way to treat these tumors yet, so more studies are needed to find the best treatment methods.

Article Abstract

Intracranial germ cell tumors (GCTs) are rare malignant tumors with a peak incidence around puberty. The pineal region is the most commonly involved area of all intracranial GCTs. Due to the heterogeneous tumor origin, subtypes, and presentation, diagnosis and management are challenging. Complicated pineal germinomas are rarely reported in the literature. Here, we report a rare case of pineal germinoma with hydrocephalus and discuss the potential treatment approach. A 20-year-old boy presented to the hospital with vomiting and a decreased level of consciousness. The brain magnetic resonance imaging (MRI) revealed a pineal tumor. A ventriculoperitoneal shunt was placed to relieve the increased intracranial pressure. The patient underwent a suboccipital craniotomy with excisional biopsy of the pineal region tumor due to its critical location, as imaging studies alone may not be sufficient to establish a definitive diagnosis. Although there has been a rise in reported cases of germinoma tumors, there is currently no standardized therapeutic approach for treating them. Therefore, more randomized controlled cohort studies are necessary to evaluate potential treatments and develop a therapeutic approach.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906974PMC
http://dx.doi.org/10.7759/cureus.53325DOI Listing

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