PT - JOURNAL ARTICLE AU - Hayashida, Yoshiko AU - Hirai, Toshinori AU - Korogi, Yukunori AU - Kochi, Masato AU - Maruyama, Noriko AU - Yamura, Masayuki AU - Yamashita, Yasuyuki TI - Pineal Cystic Germinoma with Syncytiotrophoblastic Giant Cells Mimicking MR Imaging Findings of a Pineal Cyst DP - 2004 Oct 01 TA - American Journal of Neuroradiology PG - 1538--1540 VI - 25 IP - 9 4099 - http://www.ajnr.org/content/25/9/1538.short 4100 - http://www.ajnr.org/content/25/9/1538.full SO - Am. J. Neuroradiol.2004 Oct 01; 25 AB - Summary: We report a case of precocious puberty in a 4-year-old boy. Contrast-enhanced T1-weighted MR imaging suggested a pineal cyst with enhancement of the slightly thickened wall and focal wall irregularity. Three-dimensional constructive interference in a steady-state imaging revealed a focal lobulation and a nodule-like area in the lesion. The lesion mimicking a pineal cyst proved to be a germinoma with syncytiotrophoblastic giant cells, on the basis of biopsy and tumor marker results.