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종결 Case No. 381 2015-08-01~2015-08-31
출제자 : 이경미 Hit : 366
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Period 2015-08-01~2015-08-31
Diagnosis Germ cell tumor, mixed type
Clinical information M/25
CI> Headache, vomiting
Discussion Germ cell tumor (GCT)s are divided into two groups; germinoma vs. nongerminomatous GCTs including teratoma, embryonal carcinoma, yolk sac tumor, choriocarcinoma and mixed GCT.
GCTs location; affinity for the midline (pineal region, around the 3rd ventricle, pituitary infundibulum), near the midline (BG), rarely along the ventricle

CT
-NECT:hyperdense, - CECT: strong enhancement, uniformly
MR
-T1: iso/hypo SI, T2: iso/hyper SI, GRE: Ca, hemorrhage
-DWI: often restriction (due to high cellularity), CET1: strong enhancement
-CSF spread common
Correct answer

Correct Answer

  • 서종현 울산의대 서울아산병원
  • 주비오 연세의대 세브란스병원
  • 박지은 울산의대 서울아산병원

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