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Journal of Neuro-Oncology

, Volume 100, Issue 3, pp 459–463 | Cite as

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

  • M. Foote
  • B.-A. Millar
  • A. Sahgal
  • C. Ménard
  • D. Payne
  • W. Mason
  • N. Laperriere
Clinical Study – Patient Study

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.

Keywords

Germinoma Radiotherapy Craniospinal 

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Copyright information

© Springer Science+Business Media, LLC. 2010

Authors and Affiliations

  • M. Foote
    • 1
  • B.-A. Millar
    • 1
  • A. Sahgal
    • 1
    • 2
  • C. Ménard
    • 1
  • D. Payne
    • 1
  • W. Mason
    • 3
  • N. Laperriere
    • 1
  1. 1.Department of Radiation Oncology, Princess Margaret HospitalUniversity of TorontoTorontoCanada
  2. 2.Department of Radiation Oncology, Sunnybrook Health Sciences CentreUniversity of TorontoTorontoCanada
  3. 3.Department of Medicine, Princess Margaret HospitalUniversity of TorontoTorontoCanada

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