[Autopsy case of extra-neural metastasis of suprasellar pineal germinoma].

A 19-year-old boy was admitted with a suprasellar tumor. On May, 1980 he underwent craniotomy and subtotal tumor removal. The pathological diagnosis was germinoma. In July, 1981, a solitary angiomatous tumor appeared in the left back skin and was resected. The pathological diagnosis was choriocarcinoma, thus, a final diagnosis of suprasellar choriocarcinoma was made. At the first admission, his LH was 100 miu/ml; FSH, 2.4 miu/ml, while; at the second admission, LH was 500 miu/ml; FSH, 9.9 miu/ml, HCG, 13000 miu/ml. Irradiation combined with chemotherapy brought no improvement of his symptoms and he died. At autopsy, multiple metastatic foci were recognized in the lungs, liver, kidney, intestine, skin and brain.