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Germ cell tumors

Germinomas (most common)

Teratomas

Pineal tumor

Pineocytomas, pineoblastomas

Other: Mets, Meningioma, Glioma.

Nearly evenly split between males and females (unlike germ cell tumors)

Along with pineoblastomas account for 15% of pineal region tumors

Pineocytomas more often seen in adults

Pineoblastomas and germ cell tumors more often in younger patients.

Pineocytomas less likely to seed subarachnoid space.

Imaging: Ca++, densely enhancing, dense on non-enhanced CT, iso to low intensity on T2 weighted images.