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J Clin Neurosci. 2011 Aug;18(8):1126-7. doi: 10.1016/j.jocn.2010.11.030. Epub 2011 May 19.

Late spinal metastases from an isolated pineal region germinoma mimicking a schwannoma.

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  • 1Department of Neuropathology, Armed Forces Institute of Pathology, 6825 16th Street NW, Washington, DC 20306-6000, USA.


A 20-year-old male with a prior history of germinoma presented 8 years after the initial diagnosis with progressive lower back pain. The preoperative diagnosis was schwannoma based on the appearances of a tumor in the lumbosacral region on MRI; however, histologically, a germinoma "drop" metastasis was seen. This report emphasizes the need for long-term follow-up in patients with germinoma. In addition, this patient is unusual in that the preoperative assessment favored schwannoma.

Copyright © 2011 Elsevier Ltd. All rights reserved.

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