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In germ cell tumors, germinomas account for approximately a 65%, classified as grade III of the WHO. In terms of location, suprasellar is most common in women and in the pineal region for men. Most are located towards the midline and more than the 80% appear in structures above the third ventricle, the pineal gland is being the most common place of origin followed by the suprasellar compartment, for instance, the neurohypophyseal axis, periventricular, intraventricular, lymph nodes, basal ganglia, brain hemispheres, intramedullary, among others.
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