Clinical Outcomes and Diagnostic Consistency of Serum and CSF Tumor Markers in Pediatric Intracranial Germ Cell Tumors in Thailand: A Multicenter Study

Autor: Lalita Sathitsamitphong MD, Chalinee Monsereenusorn MD, Piti Techavichit MD, Kanjana Shotelersuk MD, Piradee Suwanpakdee MD, Piya Rujkijyanont MD, Pimlak Charoenkwan MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Global Pediatric Health, Vol 9 (2022)
Druh dokumentu: article
ISSN: 2333-794X
2333794X
DOI: 10.1177/2333794X221141765
Popis: The diagnostic and treatment outcomes of intracranial germ cell tumors (ICGCTs) among low and middle income countries are limited. A total of 63 ICGCTs patients with a median age of 11.6 years were studied. A 30 (47.6%) and 33 (52.4%) patients were classified as pure germinomas and nongerminomatous germ cell tumors (NGGCTs), respectively. The concordances between serum and cerebrospinal fluid (CSF) alpha-fetoprotein (84.3%) and beta-human chorionic gonadotropin (68.4%) were addressed. The 5-year overall survival (OS) and event-free survival (EFS) rates of pure germinomas versus NGGCTs were 83.9 versus 69.1% and 74.6 versus 57.7%, respectively. Patients undergoing radiation had higher 5-year OS and EFS than those without radiation treatment with P
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