Department of Oncology, Cambridge University Hospitals, Cambridge, UK.
Cambridge University Hospitals, Cambridge, UK.
Clin Oncol (R Coll Radiol). 2018 Apr;30(4):204-214. doi: 10.1016/j.clon.2018.01.009. Epub 2018 Feb 14.
Intracranial germ cell tumours (icGCTs) are uncommon tumours occurring in children and young adults. They are usually segregated into germinomas and non-germinomatous tumours (NGGCTs) in most classifications. Germinomas are highly curable tumours with multimodality treatment, but NGGCTs are associated with poorer survival outcomes. There are some differences in the approach to the management of icGCTs globally. Current research generally focuses on reducing treatment intensity, particularly the dose and volume of radiotherapy, in order to minimise the risks of late sequelae while maintaining high cure rates in icGCTs.
颅内生殖细胞肿瘤(icGCT)是儿童和青年中罕见的肿瘤。在大多数分类中,它们通常分为生殖细胞瘤和非生殖细胞瘤(NGGCT)。生殖细胞瘤是一种高度可治愈的肿瘤,采用多模式治疗,但 NGGCT 的生存结果较差。icGCT 的治疗方法在全球范围内存在一些差异。目前的研究通常侧重于降低治疗强度,特别是放疗的剂量和体积,以最大限度地降低晚期后遗症的风险,同时保持 icGCT 的高治愈率。