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To emphasize the importance of histological confirmation in diagnosing bifocal pineal and suprasellar lesions in children.

July 6, 2026Radiology Case ReportsOpen Access

Synchronous pineal and suprasellar pineoblastoma in a child mimicking bifocal germinoma

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To emphasize the importance of histological confirmation in diagnosing bifocal pineal and suprasellar lesions in children.
Reported case of a 10-year-old girl with intracranial hypertension and brain MRI showing bifocal masses.
Initial treatment included endoscopic third ventriculostomy and tumor biopsy for histopathological evaluation.
Diagnosis of pineoblastoma was confirmed despite initial diagnosis of bifocal germinoma.
Patient developed recurrent hydrocephalus after intervention and passed away 6 weeks later.

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Case report highlights misdiagnosis of pineoblastoma as germinoma using imaging and tumor markers.

Benyaich et al. (2026) studied this question.

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