Pineal Germinoma Associated with Chronic Granulomatous Inflammation - Case Report -

육아종성 염증을 동반한 송과체 배아종 - 증례보고 -

  • Moon, Kyung Sub (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Jung, Shin (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kang, Sam Suk (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kim, In Young (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kim, Hyun Woo (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Lee, Jung Kil (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kim, Tae Sun (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kim, Jae Hyoo (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Kim, Soo Han (Department of Neurosurgery, College of Medicine, Chonnam National University) ;
  • Lee, Je Hyuk (Department of Neurosurgery, College of Medicine, Chonnam National University)
  • 문경섭 (전남대학교 의과대학 신경외과학교실) ;
  • 정신 (전남대학교 의과대학 신경외과학교실) ;
  • 강삼석 (전남대학교 의과대학 신경외과학교실) ;
  • 김인영 (전남대학교 의과대학 신경외과학교실) ;
  • 김현우 (전남대학교 의과대학 신경외과학교실) ;
  • 이정길 (전남대학교 의과대학 신경외과학교실) ;
  • 김태선 (전남대학교 의과대학 신경외과학교실) ;
  • 김재휴 (전남대학교 의과대학 신경외과학교실) ;
  • 김수한 (전남대학교 의과대학 신경외과학교실) ;
  • 이제혁 (전남대학교 의과대학 신경외과학교실)
  • Received : 2001.06.28
  • Accepted : 2001.09.18
  • Published : 2001.12.31

Abstract

Germinoma associated with chronic granulomatous inflammation of pineal gland has been rarely reported in the literature. The mechanism of chronic granulomatous inflammation is not understood well. We report a case of chronic granulomatous inflammation in pineal germinoma. In a 17 year-old male who suffered from headache and diplopia for six months, the mass of pineal gland was detected by brain MRI and removed through occipital transtentorial approach. The pathological specimen revealed the mass was predominantly composed of chronic granulomatous inflammation associated with small portion of germ cell tumor nests In the pathological interpretation of chronic granulomatous inflammation of pineal mass, it would be obliged to search for the presence of germ cell component.

Keywords