PMC3041761_01
Contrast-enhanced MRI showing multiple enhanced lesions in the third ventricle, pineal region, and fourth ventricle (upper).
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F1
Following magnetic resonance imaging (MRI), she was found to have a massive lesion in the third ventricle and small lesions in the pineal region, fourth ventricle, and in the anterior horn of the left lateral ventricle (Figure 1).
Pathological findings: A hematoxylin and eosin stain demonstrating a biphasic cell population of lymphocytes with admixed large cells (left), in which a placental alkaline phosphatase stain highlights the germinoma cells (right).
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F2
She underwent radiation treatment to the whole brain and spine after confirmation of the pathological diagnosis (Figure 2).
Post-radiotherapy MRI demonstrating a complete remission of the germinoma lesions.
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F3
Although she suffered memory impairment, she went into a complete remission following the radiation therapy (Figure 3).