Clinical outcomes of adult patients with primary intracranial germinomas treated with low-dose craniospinal radiotherapy and local boost

Foote, M., Millar, B-A, Sahgal, A., Menard, C., Payne, D., Mason, W. and Laperriere, N. (2010) Clinical outcomes of adult patients with primary intracranial germinomas treated with low-dose craniospinal radiotherapy and local boost. Journal of Neuro-Oncology, 100 3: 459-463. doi:10.1007/s11060-010-0206-9


Author Foote, M.
Millar, B-A
Sahgal, A.
Menard, C.
Payne, D.
Mason, W.
Laperriere, N.
Title Clinical outcomes of adult patients with primary intracranial germinomas treated with low-dose craniospinal radiotherapy and local boost
Journal name Journal of Neuro-Oncology   Check publisher's open access policy
ISSN 0167-594X
Publication date 2010
Sub-type Article (original research)
DOI 10.1007/s11060-010-0206-9
Volume 100
Issue 3
Start page 459
End page 463
Total pages 5
Language eng
Subject 1306 Cancer Research
2728 Clinical Neurology
2730 Oncology
2808 Neurology
Abstract The authors document the long term follow up of adult patients with histologically proven primary intracranial germinoma treated with radiotherapy alone using a craniospinal with local boost technique. A retrospective review was conducted on adults diagnosed with intracranial germinoma who received radiotherapy at the Princess Margaret Hospital, Toronto from 1990 to 2007. The study group consisted of 10 males with a median age of 24.1 years. All patients received radiotherapy alone using craniospinal radiotherapy and local boost. There were 10 patients (all male) with a median follow up of 10.9 years (range 2.2-18.9 years). At date of last follow up all patients were still alive, none with relapsed disease. Seven of ten patients (70%) had panhypopituitarianism prior to commencing radiotherapy and hormonal function was not affected in those with an intact pituitary axis. There was no reported cognitive decline in the treated cohort. For adult intracranial germinomas, with long term follow up, low-dose craniospinal radiotherapy with in field boost is highly effective with minimal morbidity.
Keyword Craniospinal
Germinoma
Radiotherapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
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