Table 4

Strategy for Non-Germinomatous Intracranial Germ Cell Tumors

Patterns of Relapse
StudyTreatmentPFS (5 y)OS (5 y)LocalDistantCombinedMarkers Alone
ACNS0122 (N = 48)Induction (6 cycles)
Carboplatin/Etoposide alternating with ifosfamide/etoposide
Followed by CSI (36Gy) plus tumor bed boost (54Gy)
92%98%9402
SIOP’96(N = 116)Induction (4 cycles)
With cisplatin, etoposide, and ifosfamide
Followed by IF-RT (54Gy)
72%82%14960
ACNS1123
(N = 66 CR/PR)
Induction (6 cycles)
Carboplatin/etoposide alternating with ifosfamide/etoposide
Followed by WVI (30.6Gy) plus tumor bed boost (54Gy)
88% (4 y)92% (4 y)0710
Patterns of Relapse
StudyTreatmentPFS (5 y)OS (5 y)LocalDistantCombinedMarkers Alone
ACNS0122 (N = 48)Induction (6 cycles)
Carboplatin/Etoposide alternating with ifosfamide/etoposide
Followed by CSI (36Gy) plus tumor bed boost (54Gy)
92%98%9402
SIOP’96(N = 116)Induction (4 cycles)
With cisplatin, etoposide, and ifosfamide
Followed by IF-RT (54Gy)
72%82%14960
ACNS1123
(N = 66 CR/PR)
Induction (6 cycles)
Carboplatin/etoposide alternating with ifosfamide/etoposide
Followed by WVI (30.6Gy) plus tumor bed boost (54Gy)
88% (4 y)92% (4 y)0710

Abbreviations: CR, complete response; CSI, craniospinal irradiation; IF, involved field; M0, localized disease; OS, overall survival; PFS, progression-free survival; PR, partial response; WVI, whole ventricular irradiation.

Table 4

Strategy for Non-Germinomatous Intracranial Germ Cell Tumors

Patterns of Relapse
StudyTreatmentPFS (5 y)OS (5 y)LocalDistantCombinedMarkers Alone
ACNS0122 (N = 48)Induction (6 cycles)
Carboplatin/Etoposide alternating with ifosfamide/etoposide
Followed by CSI (36Gy) plus tumor bed boost (54Gy)
92%98%9402
SIOP’96(N = 116)Induction (4 cycles)
With cisplatin, etoposide, and ifosfamide
Followed by IF-RT (54Gy)
72%82%14960
ACNS1123
(N = 66 CR/PR)
Induction (6 cycles)
Carboplatin/etoposide alternating with ifosfamide/etoposide
Followed by WVI (30.6Gy) plus tumor bed boost (54Gy)
88% (4 y)92% (4 y)0710
Patterns of Relapse
StudyTreatmentPFS (5 y)OS (5 y)LocalDistantCombinedMarkers Alone
ACNS0122 (N = 48)Induction (6 cycles)
Carboplatin/Etoposide alternating with ifosfamide/etoposide
Followed by CSI (36Gy) plus tumor bed boost (54Gy)
92%98%9402
SIOP’96(N = 116)Induction (4 cycles)
With cisplatin, etoposide, and ifosfamide
Followed by IF-RT (54Gy)
72%82%14960
ACNS1123
(N = 66 CR/PR)
Induction (6 cycles)
Carboplatin/etoposide alternating with ifosfamide/etoposide
Followed by WVI (30.6Gy) plus tumor bed boost (54Gy)
88% (4 y)92% (4 y)0710

Abbreviations: CR, complete response; CSI, craniospinal irradiation; IF, involved field; M0, localized disease; OS, overall survival; PFS, progression-free survival; PR, partial response; WVI, whole ventricular irradiation.

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