Abstract
Introduction
Germinoma of basal ganglia in female is very rare. The authors present a case of germinoma located in the right temporal lobe and basal ganglia in female and raise a hypothesis for the sex disparity.
Materials and methods
A 13-year-old Chinese girl complained of weakness in the left extremities and intermittent headache for 2 years. Neuroimaging revealed an irregular lesion in the temple lobe and basal ganglia. A temporal polectomy was performed for the tumor.
Results and discussion
Histopathologic examination confirmed germinoma. The patient remains stable and tumor-free for 36 months after radiotherapy and chemotherapy. The authors’ hypothesis is that it is the individual hormone balance which leads to the male predominance of germinoma in the basal ganglia.
Similar content being viewed by others
References
Huh SJ, Shin KH, Kim IH, Ahn YC, Ha SW, Park CI (1996) Radiotherapy of intracranial germinomas. Radiother Oncol 38:19–23
Kobayashi H, Yamada H, Sakai N, Andoh T, Shinoda J (1990) Germ cell tumor arising in the basal ganglia in a female. Neurol Med Chir(Tokyo) 30:123–126
Qiu X, Luo S, Ma Z, Zhang Y, Jia G, Zhang J, Li S, Feng J (2006) Clinical feature and treatment of germinoma in basal ganglia and thalamus regions: report of 28 cases. Chin J Neurosurg 22(5):290–292
Liu E, Robertson RL, du Plessis A, Pomeroy SL (1999) Basal ganglia germinoma with progressive cerebral hemiatrophy. Pediatr Neurol 20:312–314
Balmaceda C, Modak S, Finlay J (1998) Central nervous system germ cell tumors. Semin Oncol 25:243–250
Sawamura Y (1996) Current diagnosis and treatment of central nervous system germ cell tumors. Curr Opin Neurol 9:419–423
Matsumura N, Kurimoto M, Endo S, Fukuda O, Takaku A (1998) Intracranial germinoma associated with down syndrome. Report of 2 cases. Pediatr Neurosurg 29:199–202
Moon WK, Chang KH, Han MH, Kim IO (1999) Intracranial germinomas: correlation of imaging findings with tumor response to radiation therapy. Am J Roentgenol 172:713–716
Nagata K, Nikaido Y, Yuasa T, Fujimoto K, Kim YJ, Inoue M (1998) Germinoma causing Wallerian degeneration. Case report and review of the literature. J Neurosurg 88:126–128
Tamaki N, Lin T, Shirataki K, Hosoda K, Kurata H, Matsumoto S, Ito H (1990) Germ cell tumors of the thalamus and the basal ganglia. Child’s Nerv Syst 6(1):3–7
Oyama N, Terae S, Saitoh S, Sudoh A, Sawamura Y, Miyasaka K (2005) Bilateral germinoma involving the basal ganglia and cerebral white matter. Am J Neuroradiol 26(5):1166–1169
Klein O, Voirin J, Civit T, Auque J, Marchal JC (2007) Germinoma located in the basal ganglia in an 8-year-old girl. Child’s Nerv Syst 23(1):105–108
Tang J, Ma Z, Luo S, Zhang Y, Jia G, Zhang J (2008) The germinomas arising from the basal ganglia and thalamus. Child’s Nerv Syst 24(3):303–306
Fujii Y, Saito Y, Ogawa T, Fujii S, Kamitani H, Kondo S, Horie Y, Togawa M, Senda M, Maegaki Y, Ohno K (2008) Basal ganglia germinoma: diagnostic value of MR spectroscopy and (11)C-methionine positron emission tomography. J Neurol Sci 270:189–193
Ozelame RV, Shroff M, Weed B, Bouffet E, Bartels U, Drake JM, Hawkins C, Blaser S (2006) Basal ganglia germinoma in children with associated ipsilateral cerebral and brain stem hemiatrophy. Pediatr Radiol 36(4):325–330
Kobayashi T, Kageyama N, Kida Y, Yoshida J, Shibuya N, Okazuhiko O (1981) Unilateral germinomas involving the basal ganglia and thalamus. J Neurosurg 55:55–62
Ueba T, Yamashita K, Fujisawa I, Nakao S, Ooyama K, Yorihuji T, Kato SF, Seto S, Kageyama N (2007) Long-term follow-up of 5 patients with intracranial germinoma initially treated by chemotherapy alone. Acta Neurochir (Wien) 149:897–902
Wong TT, Chen YW, Guo WY, Chang KP, Ho DM, Yen SH (2008) Germinoma involving the basal ganglia in children. Child’s Nerv Syst 24(1):71–78
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hao, S., Liu, B., Tang, J. et al. Germinoma of basal ganglia in female: case report and review of the literature. Childs Nerv Syst 25, 613–617 (2009). https://doi.org/10.1007/s00381-008-0769-3
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-008-0769-3