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Central Nervous System Germinoma

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Germ-cell tumors of the central nervous system in Peking Union Medical College Hospital: A 20-year clinicopathologic review.

Zhen Huo,

Chin. Med. J. (Chinese medical journal)
[2020, 133(2):240-242]

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Antibodies Against Hypothalamus and Pituitary Gland in Childhood-Onset Brain Tumors and Pituitary Dysfunction.

Giuseppa Patti, Erika Calandra, Annamaria De Bellis, Annalisa Gallizia, Marco Crocco, Flavia Napoli, Anna Maria Elsa Allegri, Hanan F Thiabat, Giuseppe Bellastella, Maria Ida Maiorino, Maria Luisa Garrè, Stefano Parodi, Mohamad Maghnie, Natascia di Iorgi,

Purpose: To detect the presence of antipituitary (APA) and antihypothalamus antibodies (AHA) in subjects treated for brain cancers, and to evaluate their potential association with pituitary dysfunction. Methods: We evaluated 63 patients with craniopharyngioma, glioma, and germinoma treated with surgery and/or radiotherapy and/or chemotherapy at a median age of 13 ... Read more >>

Front Endocrinol (Lausanne) (Frontiers in endocrinology)
[2020, 11:16]

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Comparison on epidemiology, tumor location, histology, and prognosis of intracranial germ cell tumors between Mayo Clinic and Japanese consortium cohorts.

Hirokazu Takami, Avital Perry, Christopher S Graffeo, Caterina Giannini, Yoshitaka Narita, Yoichi Nakazato, Nobuhito Saito, Ryo Nishikawa, Masao Matsutani, Koichi Ichimura, David J Daniels,

OBJECTIVE:Central nervous system (CNS) germ cell tumors (GCTs) are rare malignant neoplasms that arise predominantly in adolescents and young adults. CNS GCTs demonstrate characteristic trends in national associations, with implications for both tumor incidence and genetics. Although the incidence of CNS GCTs is markedly higher in East Asia than Western ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-11]

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Integrated clinical, histopathological, and molecular data analysis of 190 central nervous system germ cell tumors from the iGCT Consortium.

Hirokazu Takami, Kohei Fukuoka, Shintaro Fukushima, Taishi Nakamura, Akitake Mukasa, Nobuhito Saito, Takaaki Yanagisawa, Hideo Nakamura, Kazuhiko Sugiyama, Masayuki Kanamori, Teiji Tominaga, Taketoshi Maehara, Mitsutoshi Nakada, Yonehiro Kanemura, Akio Asai, Hideo Takeshima, Yuichi Hirose, Toshihiko Iuchi, Motoo Nagane, Koji Yoshimoto, Akira Matsumura, Kazuhiko Kurozumi, Hiroyuki Nakase, Keiichi Sakai, Tsutomu Tokuyama, Soichiro Shibui, Yoichi Nakazato, Yoshitaka Narita, Ryo Nishikawa, Masao Matsutani, Koichi Ichimura,

BACKGROUND:We integrated clinical, histopathological, and molecular data of central nervous system germ cell tumors to provide insights into their management. METHODS:Data from the Intracranial Germ Cell Tumor Genome Analysis (iGCT) Consortium were reviewed. A total of 190 cases were classified as primary germ cell tumors (GCTs) based on central pathological ... Read more >>

Neuro-oncology (Neuro-oncology)
[2019, 21(12):1565-1577]

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Isolated Langerhans cell histiocytosis in the hypothalamic-pituitary region: a case report.

Weibin Zhou, Jia Rao, Chengjiang Li,

BACKGROUND:Langerhans cell histiocytosis (LCH) is a rare disease that mainly affects children, but this disease is significantly rarer in patients who are older than 15 years. In this disease, any organ can be involved. The skeleton, skin and lung are commonly affected, and isolated hypothalamic-pituitary (HP) involvement is relatively rare. Here ... Read more >>

BMC Endocr Disord (BMC endocrine disorders)
[2019, 19(1):143]

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A Rare Case of Intracranial Nongerminomatous Germ Cell Tumor in a 21-Year-Old Romanian Male.

Minesh Nandi, Rahul Anil, Edward Hamaty, William Adams, David Stidd, Krizelle Garde, Hari Kandukuri,

Extragonadal germ cell tumors are a rare entity that is more prevalent in infants and young children, with preference to midline structures. The category of intracranial germ cell tumors is divided into pure germ cell tumors (GCTs) versus nongerminomatous germ cell tumors (NGGCTs). They are usually present in the second ... Read more >>

Case Rep Oncol Med (Case reports in oncological medicine)
[2020, 2020:3787250]

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"Not all that glitters is gold": insights from the Far East and how to solve a conundrum.

Nicholas G Gottardo, Ute Bartels,

Neuro-oncology (Neuro-oncology)
[2019, 21(12):1490-1492]

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Clinical and neuropsychological outcome of pediatric non-midline central nervous system germinoma treated with chemotherapy and reduced dose/volume irradiation: The Children's Hospital Los Angeles experience.

Kee Kiat Yeo, Kimberly Kayser, Ashley S Margol, Kenneth K Wong, Nathan Robison, Jonathan Finlay, Girish Dhall,

BACKGROUND:Germ cell tumors (GCT) arising from non-midline structures (basal ganglia, thalamus, and posterior fossa) are rare. Although patients with midline (pineal and suprasellar) germinoma have excellent survival with chemotherapy and whole ventricular irradiation (WVI), germinoma in non-midline locations have traditionally been treated with craniospinal irradiation (CSI) or whole brain irradiation ... Read more >>

Pediatr Blood Cancer (Pediatric blood & cancer)
[2019, 66(12):e27983]

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Endoscopic Transsphenoidal Approach in Treatment of Germinomas of the Chiasmosellar Region.

Maxim Alexandrovich Kutin, Dmitry Vladislavovich Fomichev, Alexey Nikolaevich Shkarubo, Ilia Valerievich Chernov, Oleg Ildarovich Sharipov, Dmitry Nikolaevich Andreev, Denilbek Beksultanovich Ismailov, Nikita Igorevich Mikhailov, Grigoriy Lvovich Kobyakov, Yuriy Yurievich Trunin, Ludmila Igorevna Astafyeva, Abdishukur Abdilatipovich Abdilatipov, Artem Andreevich Poddubsky, Pavel Lvovich Kalinin,

Introduction:Germinogenic central nervous system (CNS) tumors represent a heterogeneous group of tumors, constituting approximately 0.4% of all primary brain tumors. Removal of the tumor has no prognostic value. In "pure" primary germinomas of the CNS, the alpha-fetoprotein and human chorionic gonadotropin levels are within normal limits, and no specific biochemical ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2019, 14(4):1190-1195]

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Symptom interval and treatment burden for patients with malignant central nervous system germ cell tumours.

James Hayden, Matthew J Murray, Ute Bartels, Thankamma Ajithkumar, Brinda Muthusamy, Anthony Penn, Gabriele Calaminus, James Nicholson,

OBJECTIVE:Patients with central nervous system germ cell tumours (CNS-GCTs) commonly initially present to primary care or general paediatricians. Prolonged symptom intervals (SI) are frequently seen in CNS-GCTs and have been associated with inferior outcomes in other brain tumours. This study reviewed the clinical presentation of CNS-GCTs and examined the effect ... Read more >>

Arch. Dis. Child. (Archives of disease in childhood)
[2020, 105(3):247-252]

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Intramedullary spinal cord germinoma clinically mimicking multiple sclerosis: A case report.

Hiroshi Kageyama, Takamoto Suzuki, Yukou Ohara,

Background:It is important to differentiate intramedullary neoplastic lesions from nonneoplastic diseases such as multiple sclerosis (MS) and other demyelinating or inflammatory diseases. Case Description:A 26-year-old Japanese male presented with a history of intracranial germinomas and obstructive hydrocephalus, treated with endoscopic surgery, and adjuvant chemotherapy and radiation therapy. Three years later, ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:201]

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Emergency irradiation with 3.4 Gy/2f in sellar/suprasellar germinoma patients with rapid visual acuity decline.

Bo Li, You-Qi Li, Chun-De Li, Yao Chen, Yan-Wei Liu, Shuai Liu, Xiao-Guang Qiu, Shi-Qi Luo,

BACKGROUND:Rapid visual acuity (VA) decline was a common complaint in patients with sellar/suprasellar germinoma. In our hospital, 3.4 Gy/2f of emergency irradiation was applied to save patient VA and enable subsequent chemoradiotherapy. This study aimed to investigate the efficacy of emergency irradiation with 3.4 Gy/2f in patients with sellar/suprasellar germinoma ... Read more >>

Chin. Med. J. (Chinese medical journal)
[2019, 132(17):2073-2078]

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Germination of Germinoma Treatment.

Shearwood McClelland, Jerry J Jaboin,

Int. J. Radiat. Oncol. Biol. Phys. (International journal of radiation oncology, biology, physics)
[2019, 104(5):967-968]

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Treatment outcomes based on radiation therapy fields for bifocal germinoma: Synchronous or disseminated disease?

Seung Yeun Chung, Jung Woo Han, Dong-Seok Kim, Hong In Yoon, Chang-Ok Suh,

Intracranial germinoma sometimes present as bifocal germinoma, and whether bifocal germinoma should be treated as a synchronous or disseminated disease remains unclear. This study aimed to determine the optimal treatment modality for bifocal germinoma. Patients with bifocal germinoma who received radiotherapy (RT) from March 1990 to August 2017 were included ... Read more >>

PLoS ONE (PloS one)
[2019, 14(10):e0223481]

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A Central Role of Radiation Therapy in Central Nervous System Germinoma.

Danielle S Bitterman, Susan N Chi, Daphne A Haas-Kogan,

Int. J. Radiat. Oncol. Biol. Phys. (International journal of radiation oncology, biology, physics)
[2019, 104(5):970-971]

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Comprehensive Evaluation of Rare Pituitary Lesions: A Single Tertiary Care Pituitary Center Experience and Review of the Literature.

Giulia Cossu, Jean-Philippe Brouland, Stefano La Rosa, Chiara Camponovo, Edoardo Viaroli, Roy Thomas Daniel, Mahmoud Messerer,

The 2017 World Health Organization classification of central nervous system and endocrine tumors have introduced significant changes in the diagnostic criteria for pituitary lesions. The aim of our paper is to describe the epidemiological, clinico-pathological, and radiological features of a single consecutive institutional surgical series of rare pituitary lesions, using ... Read more >>

Endocr. Pathol. (Endocrine pathology)
[2019, 30(3):219-236]

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Pineal region metastasis with intraventricular seeding: A case report and literature review.

Junpeng Ji, Chunyu Gu, Mingshan Zhang, Hongwei Zhang, Haoran Wang, Yanming Qu, Ming Ren, Weihai Ning, Chunjiang Yu,

INTRODUCTION:Tumors of the pineal region are rare, and metastatic carcinoma occurring in the pineal region is extremely rare. No previous reports have described pineal region metastasis with intraventricular seeding. PATIENT CONCERNS:We report a case of a 51-year-old woman presented with a 1-week history of severe headache, nausea, and vomiting. Imaging ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(34):e16652]

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The relationship between ventricular volume and whole-brain irradiation dose in central nervous system germ cell tumors.

Stephanie A Toll, Marjorie T Jones, Emi J Yoshida, Girish Dhall, Arthur J Olch, Kenneth K Wong,

BACKGROUND:Advanced irradiation techniques, including intensity-modulated radiation therapy (IMRT), aim to limit irradiation to adjoining tissues by conforming beams to a well-defined volume. In intracranial germinomas, whole-ventricular IMRT decreases the volume of irradiation to surrounding parenchyma. This study examined the relationship between ventricular volume and radiation dose to surrounding tissue. PROCEDURE:We ... Read more >>

Pediatr Blood Cancer (Pediatric blood & cancer)
[2019, 66(12):e28005]

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Experience Profiling of Fluorescence-Guided Surgery II: Non-Glioma Pathologies.

So Young Ji, Jin Wook Kim, Chul Kee Park,

BACKGROUND:Only sporadic reports of fluorescence-guided surgery (FGS) have been published for non-glioma conditions. In this study, we focus on epidemiological data of fluorescence patterns and report the diverse experiences of FGS in non-gliomas. METHODS:During 8.5 years between July 2010 and January 2019, 900 FGS for brain tumor performed in Seoul ... Read more >>

Brain Tumor Res Treat (Brain tumor research and treatment)
[2019, 7(2):105-111]

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Germinoma Mimicking Brain Inflammation: A Case Report.

Katarzyna Pierzchlewicz, Małgorzata Bilska, Elżbieta Jurkiewicz, Dariusz Chmielewski, Elżbieta Moszczyńska, Paweł Daszkiewicz, Maciej Ciołkowski, Wiesława Grajkowska, Katarzyna Kotulska,

The authors report a case of a germinoma of the brain in the child with symptoms restricted to central nervous system. Ten-year-old girl presented initially with sight deterioration, learning difficulties, abnormal behavior, polydipsia, and polyuria. Brain magnetic resonance examination revealed T2 hyperintensity of the corpus callosum, anterior commissure, and caudate ... Read more >>

Child Neurol Open (Child neurology open)
[2019, 6:2329048X19848181]

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Intratumoural immune cell landscape in germinoma reveals multipotent lineages and exhibits prognostic significance.

H Takami, S Fukushima, K Aoki, K Satomi, K Narumi, N Hama, Y Matsushita, K Fukuoka, K Yamasaki, T Nakamura, A Mukasa, N Saito, T Suzuki, T Yanagisawa, H Nakamura, K Sugiyama, K Tamura, T Maehara, M Nakada, M Nonaka, A Asai, K Yokogami, H Takeshima, T Iuchi, Y Kanemura, K Kobayashi, M Nagane, K Kurozumi, K Yoshimoto, M Matsuda, A Matsumura, Y Hirose, T Tokuyama, T Kumabe, K Ueki, Y Narita, S Shibui, Y Totoki, T Shibata, Y Nakazato, R Nishikawa, M Matsutani, K Ichimura, ,

AIMS:Alterations in microenvironments are a hallmark of cancer, and these alterations in germinomas are of particular significance. Germinoma, the most common subtype of central nervous system germ cell tumours, often exhibits massive immune cell infiltration intermingled with tumour cells. The role of these immune cells in germinoma, however, remains unknown. ... Read more >>

Neuropathol. Appl. Neurobiol. (Neuropathology and applied neurobiology)
[2019, :]

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Clinical investigation of pituitary incidentalomas: A two-center study.

Kota Ishii, Ichiro Abe, Wataru Kameda, Kaoru Sugimoto, Yusuke Morinaga, Miiko Ito, Yuichi Takashi, Makiko Abe, Yurika Hada, Kaoru Takase, Hideyuki Fujii, Hanako Ohishi, Kentaro Ochi, Yuka Yamao, Midori Minezaki, Tadachika Kudo, Toshio Higashi, Yukihiko Sonoda, Kenichi Ishizawa, Kunihisa Kobayashi,

Recent advances in imaging technology resulted in an increase in pituitary incidentalomas (PIs) detection. PIs were reported to be present in 1.6% persons with magnetic resonance imaging of the brain. Whereas, there were few studies about PIs with detailed investigation. We aimed to investigate the clinical and endocrinological characteristics of ... Read more >>

Intractable Rare Dis Res (Intractable & rare diseases research)
[2019, 8(4):239-244]

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Rapid, label-free detection of intracranial germinoma using multiphoton microscopy.

Na Fang, Zanyi Wu, Xingfu Wang, Ning Cao, Yuanxiang Lin, Lianhuang Li, Yupeng Chen, Shanshan Cai, Haohua Tu, Dezhi Kang, Jianxin Chen,

Accurate histopathological diagnosis is essential for facilitating the optimal surgical management of intracranial germinoma. Current intraoperative histological methods are time- and labor-intensive and often produce artifacts. Multiphoton microscopy (MPM) is a label-free imaging technique that can produce intraoperative histological images of fresh, unprocessed surgical specimens. We employ an MPM based ... Read more >>

Neurophotonics (Neurophotonics)
[2019, 6(3):035014]

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Primary cavernous sinus germinoma with atypical extension pattern: a case report and review of the literature.

Kazuki Sakakura, Takao Tsurubuchi, Tomohiko Masumoto, Ai Muroi, Eiichi Ishikawa, Akira Matsumura,

Primary intracranial germinoma is a rare central nervous system tumor that usually arises in the pineal and the supra-sellar region. Here, we report a rare case of primary intracavernous sinus germinoma with an atypical extension pattern, with a comparison to germinomas originating from the cavernous sinus as described in the ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2019, 35(9):1615-1619]

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Descriptive epidemiology of germ cell tumors of the central nervous system diagnosed in the United States from 2006 to 2015.

Haley Gittleman, Gino Cioffi, Toni Vecchione-Koval, Quinn T Ostrom, Carol Kruchko, Diana S Osorio, Jonathan L Finlay, Jill S Barnholtz-Sloan,

PURPOSE:Germ cell tumors (GCT) in the central nervous system (CNS) are rare tumors that occur with highest frequency in males, Asian populations, and children less than age 20 years. Due to the rarity of these tumors, their patterns of incidence are not well-described. The aim of this study is to provide ... Read more >>

J. Neurooncol. (Journal of neuro-oncology)
[2019, 143(2):251-260]

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