CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2017; 06(02): 135-140
DOI: 10.1055/s-0036-1596044
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Imaging Spectrum of Unusual Pineal Region Masses: A Short Series of Four Cases

Anandamoyee Dhar
1   Department of Radio-Diagnosis, Max Super Specialty Hospital, New Delhi, India
,
Ruchi Jain
1   Department of Radio-Diagnosis, Max Super Specialty Hospital, New Delhi, India
,
Bipin Walia
2   Department of Neurosurgery, Max Super Specialty Hospital, New Delhi, India
,
Urmi Mukherjee
3   Department of Pathology, Max Super Specialty Hospital, New Delhi, India
,
Bharat Aggarwal
1   Department of Radio-Diagnosis, Max Super Specialty Hospital, New Delhi, India
› Author Affiliations
Further Information

Publication History

08 April 2015

17 September 2016

Publication Date:
10 February 2017 (online)

Abstract

Pineal tumors are rare intracranial neoplasm with germ cell tumors and pineal parenchymal tumors being the predominant type, seen in 80 to 90% of cases. Only a few cases of glioblastomas have been reported. The incidence of astrocytoma and meningioma is also low in this region. In this article, we will discuss the key imaging features and diagnostic dilemmas in four rare types of pineal region tumors including pineal parenchymal tumor of intermediate differentiation, pineal astrocytoma, falcotentorial junction meningioma, and glioblastoma with subependymal spread.

 
  • References

  • 1 Statistical report: primary brain tumors in the United States, 1998–2002. Hinsdale (Illinois): Central Brain Tumor Registry of the United States; 2005
  • 2 Kersh CR, Constable WC, Eisert DR. , et al. Primary central nervous system germ cell tumors. Effect of histologic confirmation on radiotherapy. Cancer 1988; 61 (11) 2148-2152
  • 3 Hirato J, Nakazato Y. Pathology of pineal region tumors. J Neurooncol 2001; 54 (03) 239-249
  • 4 Sumida M, Barkovich AJ, Newton TH. Development of the pineal gland: measurement with MR. AJNR Am J Neuroradiol 1996; 17 (02) 233-236
  • 5 Klein P, Rubinstein LJ. Benign symptomatic glial cysts of the pineal gland: a report of seven cases and review of the literature. J Neurol Neurosurg Psychiatry 1989; 52 (08) 991-995
  • 6 Konovalov AN, Spallone A, Pitzkhelauri DI. Meningioma of the pineal region: a surgical series of 10 cases. J Neurosurg 1996; 85 (04) 586-590
  • 7 Smith AB, Rushing EJ, Smirniotopoulos JG. From the archives of the AFIP: lesions of the pineal region: radiologic-pathologic correlation. Radiographics 2010; 30 (07) 2001-2020
  • 8 Louis DN, Ohgaki H, Wiestler OD, Cavenee WK. WHO Classification of Tumours of the Central Nervous System. Lyon, France: International Agency for Research on Cancer; 2007
  • 9 Douglas-Akinwande AC, Ying J, Momin Z, Mourad A, Hattab EM. Diffusion-weighted imaging characteristics of primary central nervous system germinoma with histopathologic correlation: a retrospective study. Acad Radiol 2009; 16 (11) 1356-1365
  • 10 Moon WK, Chang KH, Han MH, Kim IO. Intracranial germinomas: correlation of imaging findings with tumor response to radiation therapy. AJR Am J Roentgenol 1999; 172 (03) 713-716
  • 11 Horowitz MB, Hall WA. Central nervous system germinomas. A review. Arch Neurol 1991; 48 (06) 652-657
  • 12 Moon KS, Jung S, Jung TY, Kim IY, Lee MC, Lee KH. Primary glioblastoma in the pineal region: a case report and review of the literature. J Med Case Reports 2008; 2: 288
  • 13 Konovalov AN, Pitskhelauri DI. Principles of treatment of the pineal region tumors. Surg Neurol 2003; 59 (04) 250-268
  • 14 Konovalov AN, Pitskhelauri DI. Principles of treatment of the pineal region tumors. Surg Neurol 2003; 59 (04) 250-268
  • 15 Morgenstern PF, Osbun N, Schwartz TH, Greenfield JP, Tsiouris AJ, Souweidane MM. Pineal region tumors: an optimal approach for simultaneous endoscopic third ventriculostomy and biopsy. Neurosurg Focus 2011; 30 (04) E3