Mixed germ cell tumor of the pineal gland in a pediatric patient

Serbeze Kabashi, MD; Ilir Ahmetgjekaj; Edlira Harizi, MD; Fjolla Hyseni, MD; Erisa Kola, MD; Valon Vokshi, MD; Guri Hyseni, MD; Ina Kola, MD; Humza Haroon, MD; Masum Rahman, MD; Kledisa Shemsi, MD; Arlind Decka, MD; Livia Capi, MD; Kaltrina Goçaj, MD; Juna Musa, MD, MSc

Radiology Case Reports (Sep 2022)

Mixed germ cell tumor of the pineal gland in a pediatric patient

Serbeze Kabashi, MD,
Ilir Ahmetgjekaj,
Edlira Harizi, MD,
Fjolla Hyseni, MD,
Erisa Kola, MD,
Valon Vokshi, MD,
Guri Hyseni, MD,
Ina Kola, MD,
Humza Haroon, MD,
Masum Rahman, MD,
Kledisa Shemsi, MD,
Arlind Decka, MD,
Livia Capi, MD,
Kaltrina Goçaj, MD,
Juna Musa, MD, MSc

Affiliations

Serbeze Kabashi, MD: Department of Radiology, University Clinical Center of Kosovo, University of Prishtina, Pristina, Kosovo
Ilir Ahmetgjekaj: Department of Radiology, University Clinical Center of Kosovo, Pristina, Kosovo; Corresponding author.
Edlira Harizi, MD: Neurology Department, Regional Hospital Durres, Durres, Albania
Fjolla Hyseni, MD: Department of Pediatrics, NYU Langone Health, New York, NY, USA
Erisa Kola, MD: Department of Pathology, Gjirokaster Hospital, Gjirokaster, Albania
Valon Vokshi, MD: Department of Anesthesiology and Reanimation, University Clinical Center of Kosovo, Pristina, Kosovo
Guri Hyseni, MD: Department of Pediatric Surgery, Hospital and University Clinical Service of Kosova, Pristina, Kosovo
Ina Kola, MD: Department of Burns and Plastic Surgery, Tirana, Albania
Humza Haroon, MD: Jinnah Medical & Dental College, Karachi, Pakistan
Masum Rahman, MD: Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA
Kledisa Shemsi, MD: General Practitioner Doctor, Tirana, Albania
Arlind Decka, MD: Department of General Surgery, Westchester Medical Center, Valhalla, NY, USA
Livia Capi, MD: ‘Mother Teresa’ University Hospital Center, Tirana, Albania
Kaltrina Goçaj, MD: Department of Radiology, University Clinical Center of Kosovo, Pristina, Kosovo
Juna Musa, MD, MSc: Department of Surgery, Mayo Clinic, Rochester, MN, USA

Journal volume & issue: Vol. 17, no. 9
pp. 2940 – 2945

Abstract

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Tumors of the pineal region are a rare clinical entity, comprising approximately 3%-8% of pediatric tumors. Based on their histopathological features, they are typically classified as pineal parenchymal tumors and germ cell tumors, with the latter being more prevalent. Clinical presentation is heterogeneous, with symptoms arising either due to tumor invasion or compression of adjacent neurovascular structures and increased intracranial pressure. Imaging studies are paramount in evaluating pineal region lesions and establishing an accurate diagnosis, with MRI representing the gold standard. Herein, we present the case of a 16-year-old boy presented with recurrent headaches. A head MRI revealed a pineal gland lesion. Histopathological examination confirmed the diagnosis, and the patient underwent a successful gross total resection (GTR) of the tumor. This case report seeks to draw attention to the elusive clinical presentation and management of this infrequently encountered tumor, as well as emphasize the importance of considering pineal gland tumors in the differential diagnosis of recurrent, chronic headaches in pediatric patients.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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