Regine W F, Hodes J E, Patchell R A
University of Kentucky Medical Center, Department of Radiation Medicine, Lexington 40536-0084, USA.
J Neurooncol. 1998 Mar;37(1):75-7. doi: 10.1023/a:1005864204082.
The management of intracranial germinomas is controversial, with treatment options including conventional wide-field irradiation with or without chemotherapy or primary chemotherapy alone. The potential role of radiosurgery in the treatment of these lesions, although appealing, remains to be defined. We report a case whose initial management plan included radiosurgery to be followed by chemotherapy; however the patient subsequently refused chemotherapy. The presentation, diagnosis, treatment and results are discussed.