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Demir MK, Yapıcıer O, Karakaya OF, Mert B, Seker A. A primary third ventricle mixed germ cell tumor with leptomeningeal dissemination of immature teratoma component. Childs Nerv Syst 2020; 36:629-633. [PMID: 31418081 DOI: 10.1007/s00381-019-04351-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 08/09/2019] [Indexed: 12/17/2022]
Abstract
A 17-year-old male patient presented to the clinic with a headache, nausea, and vomiting. Magnetic resonance imaging demonstrated a fat-containing and -enhancing heterogeneous tumor in the third ventricle, and fat droplets within the ventricles and the subarachnoid space. Obstructive hydrocephalus was also present. Emergency subtotal removal of the mass was performed via interhemispheric transcallosal approach. The histopathological diagnosis was a mixed germ cell tumor that was composed of embryonal carcinoma, yolk-sac tumor, germinoma, and immature teratoma containing a large amount of mature elements. The patient was referred for postoperative chemoradiotherapy. A mixed germ cell tumor is a rare type of nongerminomatous germ cell tumor that is made up of at least two different types of germ cell tumors. These may include germinoma, choriocarcinoma, embryonal carcinoma, yolk sac tumor, mature teratoma, immature teratoma, or teratoma with malignant degeneration. As far as we know, this is the first reported case of a primary third ventricle mixed germ cell tumor with leptomeningeal dissemination of the immature teratoma component that contains grossly visible mature elements at admission.
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Affiliation(s)
- Mustafa Kemal Demir
- Department of Radiology, Bahçeşehir University School of Medicine, Göztepe Medical Park Training and Education Hospital, Istanbul, Turkey.
| | - Ozlem Yapıcıer
- Department of Pathology, Bahçeşehir University School of Medicine, Göztepe Medical Park Training and Education Hospital, Istanbul, Turkey
| | | | - Başak Mert
- Bahçeşehir University School of Medicine, Istanbul, Turkey
| | - Askın Seker
- Department of Neurosurgery, Altınbas University Faculty of Medicine, Bahçelievler Medical Park Hospital, Istanbul, Turkey
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Abdelmuhdi AS, Almazam AE, Dissi NA, Albastaki UM, Pierre-Jerome C. Intracranial Teratoma: Imaging, Intraoperative, and Pathologic Features: AIRP Best Cases in Radiologic-Pathologic Correlation. Radiographics 2017; 37:1506-1511. [PMID: 28898192 DOI: 10.1148/rg.2017160202] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Editor's Note.-RadioGraphics continues to publish radiologic-pathologic case material selected from the American Institute for Radiologic Pathology (AIRP) "best case" presentations. The AIRP conducts a 4-week Radiologic Pathology Correlation Course, which is offered five times per year. On the penultimate day of the course, the best case presentation is held at the American Film Institute Silver Theater and Cultural Center in Silver Spring, Md. The AIRP faculty identifies the best cases, from each organ system, brought by the resident attendees. One or more of the best cases from each of the five courses are then solicited for publication in RadioGraphics. These cases emphasize the importance of radiologic-pathologic correlation in the imaging evaluation and diagnosis of diseases encountered at the institute and its predecessor, the Armed Forces Institute of Pathology (AFIP). Online supplemental material is available for this article.
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Affiliation(s)
- Ahmad S Abdelmuhdi
- From the Department of Radiology, Rashid Hospital, Oud Metha St, PO Box 4545, Dubai, United Arab Emirates (A.S.A., A.E.A., U.M.A.); Department of Pathology and Genetics, Dubai Hospital, Dubai, United Arab Emirates (N.A.D.); and Department of Radiology, Ackershus University Hospital, Lørenskog, Norway (C.P.J.)
| | - Abdulla E Almazam
- From the Department of Radiology, Rashid Hospital, Oud Metha St, PO Box 4545, Dubai, United Arab Emirates (A.S.A., A.E.A., U.M.A.); Department of Pathology and Genetics, Dubai Hospital, Dubai, United Arab Emirates (N.A.D.); and Department of Radiology, Ackershus University Hospital, Lørenskog, Norway (C.P.J.)
| | - Noreen A Dissi
- From the Department of Radiology, Rashid Hospital, Oud Metha St, PO Box 4545, Dubai, United Arab Emirates (A.S.A., A.E.A., U.M.A.); Department of Pathology and Genetics, Dubai Hospital, Dubai, United Arab Emirates (N.A.D.); and Department of Radiology, Ackershus University Hospital, Lørenskog, Norway (C.P.J.)
| | - Usama M Albastaki
- From the Department of Radiology, Rashid Hospital, Oud Metha St, PO Box 4545, Dubai, United Arab Emirates (A.S.A., A.E.A., U.M.A.); Department of Pathology and Genetics, Dubai Hospital, Dubai, United Arab Emirates (N.A.D.); and Department of Radiology, Ackershus University Hospital, Lørenskog, Norway (C.P.J.)
| | - Claude Pierre-Jerome
- From the Department of Radiology, Rashid Hospital, Oud Metha St, PO Box 4545, Dubai, United Arab Emirates (A.S.A., A.E.A., U.M.A.); Department of Pathology and Genetics, Dubai Hospital, Dubai, United Arab Emirates (N.A.D.); and Department of Radiology, Ackershus University Hospital, Lørenskog, Norway (C.P.J.)
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