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

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 heter...

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Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322003703
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author 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
author_facet 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
author_sort Serbeze Kabashi, MD
collection DOAJ
description 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.
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spelling doaj.art-82933cd6dfdf4becbafac6de66be91152022-12-22T03:04:49ZengElsevierRadiology Case Reports1930-04332022-09-0117929402945Mixed germ cell tumor of the pineal gland in a pediatric patientSerbeze Kabashi, MD0Ilir Ahmetgjekaj1Edlira Harizi, MD2Fjolla Hyseni, MD3Erisa Kola, MD4Valon Vokshi, MD5Guri Hyseni, MD6Ina Kola, MD7Humza Haroon, MD8Masum Rahman, MD9Kledisa Shemsi, MD10Arlind Decka, MD11Livia Capi, MD12Kaltrina Goçaj, MD13Juna Musa, MD, MSc14Department of Radiology, University Clinical Center of Kosovo, University of Prishtina, Pristina, KosovoDepartment of Radiology, University Clinical Center of Kosovo, Pristina, Kosovo; Corresponding author.Neurology Department, Regional Hospital Durres, Durres, AlbaniaDepartment of Pediatrics, NYU Langone Health, New York, NY, USADepartment of Pathology, Gjirokaster Hospital, Gjirokaster, AlbaniaDepartment of Anesthesiology and Reanimation, University Clinical Center of Kosovo, Pristina, KosovoDepartment of Pediatric Surgery, Hospital and University Clinical Service of Kosova, Pristina, KosovoDepartment of Burns and Plastic Surgery, Tirana, AlbaniaJinnah Medical & Dental College, Karachi, PakistanDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USAGeneral Practitioner Doctor, Tirana, AlbaniaDepartment of General Surgery, Westchester Medical Center, Valhalla, NY, USA‘Mother Teresa’ University Hospital Center, Tirana, AlbaniaDepartment of Radiology, University Clinical Center of Kosovo, Pristina, KosovoDepartment of Surgery, Mayo Clinic, Rochester, MN, USATumors 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.http://www.sciencedirect.com/science/article/pii/S1930043322003703PinealIntracranial germinomaMRIChemotherapyRadiation
spellingShingle 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
Mixed germ cell tumor of the pineal gland in a pediatric patient
Radiology Case Reports
Pineal
Intracranial germinoma
MRI
Chemotherapy
Radiation
title Mixed germ cell tumor of the pineal gland in a pediatric patient
title_full Mixed germ cell tumor of the pineal gland in a pediatric patient
title_fullStr Mixed germ cell tumor of the pineal gland in a pediatric patient
title_full_unstemmed Mixed germ cell tumor of the pineal gland in a pediatric patient
title_short Mixed germ cell tumor of the pineal gland in a pediatric patient
title_sort mixed germ cell tumor of the pineal gland in a pediatric patient
topic Pineal
Intracranial germinoma
MRI
Chemotherapy
Radiation
url http://www.sciencedirect.com/science/article/pii/S1930043322003703
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