Table 3

European and North American Concepts for Radiotherapy

Europe (SIOP)North America (COG)
Pure germinomaM0  
Chx, WVI24Gy, F-RT/boost 16Gy; if CR no boost (currently under evaluation)
M+
RT CSI alone 24Gy, IF-RT/boost 16Gy42,43
M0  
ACNS1123:
Chx WVI 18Gy, IF-RT/boost 12Gy for CR; WVI 24Gy, IF-RT/boost 12Gy if no CR is currently under evaluation
NGGCTM0  
Chx, IF-RT 54Gy (surgery if not CR before RT)
M+
Chx, CSI 30Gy, IF-RT/boost 24Gy29
M0  
ACNS0122:Chx, CSI 36Gy, boost 18Gy
ACNS1123: Chx, WVI/30.6Gy, boost 23.4Gy
M+
ACNS0122: CSI 36Gy, boost 18Gy28,39
TeratomaNo detailed recommendations (register)No detailed recommendations
Europe (SIOP)North America (COG)
Pure germinomaM0  
Chx, WVI24Gy, F-RT/boost 16Gy; if CR no boost (currently under evaluation)
M+
RT CSI alone 24Gy, IF-RT/boost 16Gy42,43
M0  
ACNS1123:
Chx WVI 18Gy, IF-RT/boost 12Gy for CR; WVI 24Gy, IF-RT/boost 12Gy if no CR is currently under evaluation
NGGCTM0  
Chx, IF-RT 54Gy (surgery if not CR before RT)
M+
Chx, CSI 30Gy, IF-RT/boost 24Gy29
M0  
ACNS0122:Chx, CSI 36Gy, boost 18Gy
ACNS1123: Chx, WVI/30.6Gy, boost 23.4Gy
M+
ACNS0122: CSI 36Gy, boost 18Gy28,39
TeratomaNo detailed recommendations (register)No detailed recommendations

Abbreviations: Chx: chemotherapy; CSI: craniospinal irradiation; F-RT: focal irradiation; NGGCT: non-germinomatous germ cell tumors; WVI, whole ventricular irradiation.

Table 3

European and North American Concepts for Radiotherapy

Europe (SIOP)North America (COG)
Pure germinomaM0  
Chx, WVI24Gy, F-RT/boost 16Gy; if CR no boost (currently under evaluation)
M+
RT CSI alone 24Gy, IF-RT/boost 16Gy42,43
M0  
ACNS1123:
Chx WVI 18Gy, IF-RT/boost 12Gy for CR; WVI 24Gy, IF-RT/boost 12Gy if no CR is currently under evaluation
NGGCTM0  
Chx, IF-RT 54Gy (surgery if not CR before RT)
M+
Chx, CSI 30Gy, IF-RT/boost 24Gy29
M0  
ACNS0122:Chx, CSI 36Gy, boost 18Gy
ACNS1123: Chx, WVI/30.6Gy, boost 23.4Gy
M+
ACNS0122: CSI 36Gy, boost 18Gy28,39
TeratomaNo detailed recommendations (register)No detailed recommendations
Europe (SIOP)North America (COG)
Pure germinomaM0  
Chx, WVI24Gy, F-RT/boost 16Gy; if CR no boost (currently under evaluation)
M+
RT CSI alone 24Gy, IF-RT/boost 16Gy42,43
M0  
ACNS1123:
Chx WVI 18Gy, IF-RT/boost 12Gy for CR; WVI 24Gy, IF-RT/boost 12Gy if no CR is currently under evaluation
NGGCTM0  
Chx, IF-RT 54Gy (surgery if not CR before RT)
M+
Chx, CSI 30Gy, IF-RT/boost 24Gy29
M0  
ACNS0122:Chx, CSI 36Gy, boost 18Gy
ACNS1123: Chx, WVI/30.6Gy, boost 23.4Gy
M+
ACNS0122: CSI 36Gy, boost 18Gy28,39
TeratomaNo detailed recommendations (register)No detailed recommendations

Abbreviations: Chx: chemotherapy; CSI: craniospinal irradiation; F-RT: focal irradiation; NGGCT: non-germinomatous germ cell tumors; WVI, whole ventricular irradiation.

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