Abstract
Pineal germinoma is the commonest pineal region tumor of childhood and adoles- cence. Metastatic germinoma most commonly occurs via the cerebrospinal fluid (CSF), and it is usually limited to the cerebrospinal axis. Extacranial hematogenous metastasis is known to be very rare. We report here on a case of pineal germinoma with gradual extracranial metastases that occurred both through the CSF pathway and by hematogenous spread. The pa- tient had multifocal CSF seeding after his surgery for pineal germinoma, and the left il- iac metastasis and lung metastasis then occurred.
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