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Practice patterns and survival outcomes of intracranial germinoma: an analysis of the National Cancer Database

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Abstract

The goal of the study is to examine the practice pattern and survival outcome of adult and pediatric patients with intracranial germinoma. Patients from the National Cancer Database (NCDB) brain tumor registry between the years 2004–2014 with intracranial germinoma were extracted for analysis. Patients who had distant metastasis, received no treatments, or only surgery/chemotherapy alone were excluded. An age cutoff of > 21 years old was used to define the pediatric population. Patients were stratified by the treatments radiation therapy alone (RT) and chemotherapy followed by radiation therapy (C + RT). 445 patients with intracranial germinoma meeting our inclusion criteria were identified. Of the adult patients, 65.7% received RT and 34.3% received C + RT, compared to the pediatric patients, where 31.8% received RT and 68.2% received C + RT. Those patients who received C + RT had a lower radiation dose compared to the RT group (p < 0.001). The 5 and 10 year overall survival (OS) for the entire cohort was 92.6 and 87.9%, respectively. Univariate analysis demonstrated improved OS with younger age, private insurance, C + RT treatment, and pediatric patients. Only age and insurance type remained significant on multivariate analysis. The 5 year OS was 92.6% (RT) versus 97.2% (C + RT) (p = 0.307) and 83.4% (RT) versus 95.4% (C + RT) (p = 0.122) in the pediatric and adult patients, respectively. There is a higher use of C + RT with an accompanied reduction in RT dose in the treatment of intracranial germinoma. There is no difference in survival between the treatment approaches of RT or C + RT in the NCDB patient cohort.

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Authors and Affiliations

  1. Department of Radiation Oncology, Beaumont Health, Oakland University William Beaumont School of Medicine, 3601 West 13 Mile Road, Royal Oak, MI, 48073, USA

    Wei Gang Wang, Hong Ye & Prakash Chinnaiyan

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  1. Wei Gang Wang
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  2. Hong Ye
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  3. Prakash Chinnaiyan
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Correspondence to Prakash Chinnaiyan.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Wang, W.G., Ye, H. & Chinnaiyan, P. Practice patterns and survival outcomes of intracranial germinoma: an analysis of the National Cancer Database. J Neurooncol 137, 77–82 (2018). https://doi.org/10.1007/s11060-017-2696-1

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