Radiation therapy for pineal and suprasellar germ cell tumors.

Abstract

Radiation therapy (XRT) was used in the treatment of 25 patients with tumors of the pineal and suprasellar locations. A tissue diagnosis was obtained before XRT in 5 patients, and 20 were irradiated without histologic verification. The overall survival rate is 80% (76% with no evidence of disease [NED]). Megavoltage XRT was delivered to the entire neuraxis in 22 patients, and 86% (19/22) are alive from 4 to 88 months (median, 30 months) after treatment. In two of three patients treated only to local fields, tumor recurred in the spine; both are dead of disease. Biopsy-proven germinomas and multiple midline tumors responded favorably to XRT, whereas solitary pineal tumors and teratomas with marker positivity (human chorionic gonadotropin, alpha-fetoprotein) did not respond as well. The endocrinologic presentation, tumor marker status, and early response to radiation measured on computed tomography are useful means for selecting patients for radiation therapy.

• Authors: T A Rich, J R Cassady, R D Strand, K R Winston
• Journal: Cancer (Cancer) Vol. 55 Issue 5 Pg. 932-40 (Mar 01 1985) ISSN: 0008-543X [Print] United States
• PMID: 2981605 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Brain (diagnostic imaging)
• Brain Neoplasms (radiotherapy, surgery)
• Child
• Child, Preschool
• Female
• Humans
• Infant
• Male
• Neoplasms, Germ Cell and Embryonal (radiotherapy, surgery)
• Pineal Gland
• Pinealoma (radiotherapy)
• Radiotherapy (adverse effects)
• Teratoma (radiotherapy)
• Tomography, X-Ray Computed