We report the chromosomal characteristics of a recurrent pineal nonsem
inomatous germ cell tumor in a 16 year-old male patient. This nonsemin
omatous tumor had the following components: embryonal carcinoma, terat
oma, yolk sac tumor, and trophoblastic giant cells. Chromosome analysi
s showed a near-triploid karyotype (64 chromosomes), including two cop
ies of an isochromosome 12p. This latter finding could be confirmed us
ing 12p-specific competitive in situ hybridization techniques applied
to cultured cells (T2219-P6 cell line) derived from the tumor. The pre
sent findings are in keeping with the hypothesis that isochromosome 12
p formation is associated with the development of malignant extragonad
al germ cell tumors.