Germinoma arising in the basal ganglia in early stage: CT and MR findings

Radiat Med. 1995 Nov-Dec;13(6):305-8.

Abstract

We report a patient with a germinoma originating in the left basal ganglia. Unenhanced computed tomography (CT) revealed a relatively well-defined high-density lesion, which was slightly enhanced with contrast medium. No tumor stain was noted on angiography. The mass showed hypointensity on T1-weighted magnetic resonance imaging (MRI), and heterogeneous hyperintensity on T2-weighted imaging. The lesion was homogeneously enhanced after the administration of Gd-DTPA. To our knowledge, the MR findings of basal ganglia germinoma have been retrospectively reviewed in just four reported cases, only two of which were examined with Gd-DTPA enhancement. The two cases revealed relatively large masses with cysts and peritumoral edema, and were slightly enhanced after the intravenous injection of Gd-DTPA. Our case was thought to be in the early stage, and its CT and MR findings were slightly different from those of previously reported cases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Basal Ganglia Diseases / diagnosis*
  • Basal Ganglia Diseases / diagnostic imaging
  • Brain Edema / diagnosis
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / diagnostic imaging
  • Cerebral Angiography
  • Child
  • Contrast Media
  • Cysts / diagnosis
  • Gadolinium
  • Gadolinium DTPA
  • Germinoma / diagnosis*
  • Germinoma / diagnostic imaging
  • Humans
  • Image Enhancement
  • Magnetic Resonance Imaging*
  • Male
  • Neoplasm Staging
  • Organometallic Compounds
  • Pentetic Acid / analogs & derivatives
  • Radiographic Image Enhancement
  • Tomography, X-Ray Computed*

Substances

  • Contrast Media
  • Organometallic Compounds
  • Pentetic Acid
  • Gadolinium
  • Gadolinium DTPA