» Articles » PMID: 37405483

[Diagnosis of Germ Cell Tumors]

Overview
Specialty Radiology
Date 2023 Jul 5
PMID 37405483
Authors
Affiliations
Soon will be listed here.
Abstract

Clinical/methodical Issue: Intracranial germ cell tumors are rare central nervous system (CNS) diseases in Europa and America. Because of their low frequency and lack of typical imaging features, they represent a difficult diagnosis for any radiologist.

Standard Radiological Methods: Magnetic resonance imaging (MRI) is a sensible diagnostic tool for the initial diagnosis of germ cell tumors, although it has limitations.

Methodological Innovations: So far, no typical morphologic pattern as a red flag for germ cell tumors has been identified. Correlation with clinical symptoms and laboratory results is mandatory.

Performance: In certain cases, combining the location of the tumor and clinical findings may allow a diagnosis to be made even without histologic confirmation.

Practical Recommendations: In addition to imaging, the radiologist needs the age, background, and laboratory findings to be able to make an accurate diagnosis.

References
1.
Abu Arja M, Bouffet E, Finlay J, Abdelbaki M . Critical review of the management of primary central nervous nongerminomatous germ cell tumors. Pediatr Blood Cancer. 2019; 66(6):e27658. DOI: 10.1002/pbc.27658. View

2.
Afzal S, Wherrett D, Bartels U, Tabori U, Huang A, Stephens D . Challenges in management of patients with intracranial germ cell tumor and diabetes insipidus treated with cisplatin and/or ifosfamide based chemotherapy. J Neurooncol. 2009; 97(3):393-9. DOI: 10.1007/s11060-009-0033-z. View

3.
Agrawal M, Uppin M, Patibandla M, Bhattacharjee S, Panigrahi M, Saradhi V . Teratomas in central nervous system: a clinico-morphological study with review of literature. Neurol India. 2010; 58(6):841-6. DOI: 10.4103/0028-3886.73740. View

4.
Balmaceda C, Finlay J . Current advances in the diagnosis and management of intracranial germ cell tumors. Curr Neurol Neurosci Rep. 2004; 4(3):253-62. DOI: 10.1007/s11910-004-0046-0. View

5.
Chaganti R, Houldsworth J . Genetics and biology of adult human male germ cell tumors. Cancer Res. 2000; 60(6):1475-82. View