Table 1.
Patient Demographics | ||||
Sex | Male | 48 | ||
Female | 19 | |||
Race | Caucasian | 54 | ||
African American | 10 | |||
Other | 3 | |||
Age at diagnosis(years) [median (range)] | 11.8 (2.2–18.7) | |||
Tumor description | ||||
Diagnosis | Germinoma | 42 | ||
NGGCT | 25 | |||
Location | Pineal | 38 | ||
Suprasellar | 22 | |||
Bifocal | 7 | |||
Metastatic at presentation | 21 | |||
Initial Treatment | ||||
Germinoma (42) | NGGCT (25) | Total (67) | ||
Surgery | 37 | 15 | 52 | |
Biopsy | 26 | 5a | 31 | |
PR | 3 | 2 | 5 | |
STR | 6 | 3 | 9 | |
NTR/GTR | 2 | 5b | 7 | |
No Surgery | 5c | 10d | 15 | |
RT | 41 | 24 | 65e | |
Focal only | 2f | 0 | 2 | |
CSI+Focal Boost | 36 | 22 | 58 | |
Whole Brain+Focal Boost | 0 | 1g | 1 | |
WVI + Focal Boost | 3 | 1 | 4 | |
No RT | 1 | 1 | 2 | |
Additional Sterotactic radiosurgery | 0 | 4 | 4 | |
Chemotherapy | 18 | 23h | 41 | |
Follow-up | ||||
Time of follow-up (years) [median (range)] | Median | 9.3 (0.4–24.4) | ||
Status | NEDi | 57 | ||
DOD | 5 | |||
DNODj | 5 |
Abbreviations: NGGCT, non-germinomatous germ cell tumor; PR, partial resection;, STR, subtotal resection; NTR, near total resection; GTR, gross total resection; RT, radiation therapy; CSI, cranio-spinal irradiation; WVI, whole ventricular irradiation; NED, no evidence of disease; DOD, died of disease; DNOD died not of disease.
Five patients with NGGCT had a biopsy and then soon after had second surgery [partial (n=1), STR (n=1), NTR/GTR (n=3)] and for them the surgery after biopsy was considered the definite surgery; therefore, these patients were not included in the patient numbers for biopsy.
Five patients had GTR/NTR surgery after RT(n=1), chemo (n=3), or both (n=1).
Three patients were diagnosed by elevated bHCG and two by bifocal location.
Ten patients were diagnosed by elevated markers alone, with no indication for surgery.
One patient with germinoma and 1 with NNGCT did not receive RT, as they were 2 and 3 years old, respectively.
One patient treated outside St. Jude, and 1 patient treated in the low-risk branch of POG 9530 protocol.
Patient treated in 1985.
Two patients treated in 1985 did not receive chemotherapy.
Four patients were considered NED on the basis of negative markers but still had a residual mass likely consisting of benign fibrous tissue.
Five patients considered DNOD [endocrinopathies (n=2), second malignancy (n=1), VP shunt sepsis (n=1), and suicide (n=1)].