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We report the case of a 19‐year‐old woman with a highly malignant intracranial germ cell tumor (GCT) that developed 14 years after treatment for neurohypophyseal germinoma. Magnetic resonance imaging (MRI) showed a large neurohypophyseal mass and a synchronous lesion in the pineal region. Plasma α‐fetoprotein was elevated to 3038 ng/mL. Although the tumor shrank and tumor marker levels normalized...
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