[Autopsy case of extra-neural metastasis of suprasellar pineal germinoma].
A 19-year-old boy was admitted with a suprasellar tumor. On May, 1980 he underwent craniotomy and subtotal tumor removal. The pathological diagnosis was germinoma. In July, 1981, a solitary angiomatous tumor appeared in the left back skin and was resected. The pathological diagnosis was choriocarcinoma, thus, a final diagnosis of suprasellar choriocarcinoma was made. At the first admission, his LH was 100 miu/ml; FSH, 2.4 miu/ml, while; at the second admission, LH was 500 miu/ml; FSH, 9.9 miu/ml, HCG, 13000 miu/ml. Irradiation combined with chemotherapy brought no improvement of his symptoms and he died. At autopsy, multiple metastatic foci were recognized in the lungs, liver, kidney, intestine, skin and brain.
D000328:Adult; D001932:Brain Neoplasms / Q000473:pathology*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D009362:Neoplasm Metastasis; D009360:Neoplastic Cells, Circulating; D010871:Pinealoma / Q000473:pathology*; D012658:Sella Turcica; D014327:Trophoblasts / Q000473:pathology