RT Journal Article SR Electronic T1 Pineal Cystic Germinoma with Syncytiotrophoblastic Giant Cells Mimicking MR Imaging Findings of a Pineal Cyst JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1538 OP 1540 VO 25 IS 9 A1 Yoshiko Hayashida A1 Toshinori Hirai A1 Yukunori Korogi A1 Masato Kochi A1 Noriko Maruyama A1 Masayuki Yamura A1 Yasuyuki Yamashita YR 2004 UL http://www.ajnr.org/content/25/9/1538.abstract AB Summary: We report a case of precocious puberty in a 4-year-old boy. Contrast-enhanced T1-weighted MR imaging suggested a pineal cyst with enhancement of the slightly thickened wall and focal wall irregularity. Three-dimensional constructive interference in a steady-state imaging revealed a focal lobulation and a nodule-like area in the lesion. The lesion mimicking a pineal cyst proved to be a germinoma with syncytiotrophoblastic giant cells, on the basis of biopsy and tumor marker results.