Clinical and subclinical characteristics of intracranial germ cell tumor in children

Downloads

Download data is not yet available.
PDF (Tiếng Việt)     21    9

Abstract

Background: Intracranial germ cell tumors (IGCTs) are rare malignant neoplasms that arise predominantly in adolescents and young adults. Clinical presentations depend on primary location and size of tumor.

Methods: A cross - sectional descriptive, retrospective study was conducted on 50 children with IGCTs diagnosed at Children National Hospital during 01/2016 to 12/2022.

Results: The mean age of the disease is 8 ± 4.6 years old. The male/female ratio was 2/1. Common clinical symptoms were headache, vomiting and/or endocrine disturbances. Most cases were solitary tumours (92%). Tumor was located most commonly found in the pineal gland and/or suprasellar region. Non - germinomas accounted for 72% and germinoma - 28%. Non - germinoma IGCTs are larger in size, more ventriculomegaly condition, higher AFP, β - HCG level than germinoma IGCTs.

Conclusions: IGCTs in children had variable clinical manifestations depening on location, size and pathology of the tumor.

https://doi.org/10.38103/jcmhch.90.13

References

Mosbech CH, Rechnitzer C, Brok JS, et al. Recent

advances in understanding the etiology and pathogenesis

of pediatric germ cell tumors. J Pediatr Hematol Oncol.

;36(4):263-70.

Schulte F, Russell KB, Cullen P, et al. Systematic review

and meta-analysis of health-related quality of life in

pediatric CNS tumor survivors. 2017;64(8):e26442.

Goodwin TL, Sainani K, Fisher PG. Incidence patterns of

central nervous system germ cell tumors: a SEER Study. J

Pediatr Hematol Oncol. 2009;31(8):541-4.

Kurucu N, Akyüz C, Varan A, et al. Primary intracranial

germ cell tumors in children 36-year experience of a single

center. J Cancer Res Ther. 2020;16(6):1459-1465.

Fetcko K, Dey M. Primary Central Nervous System Germ

Cell Tumors: A Review and Update. Med Res Arch.

;6(3).

Partenope C, Pozzobon G, Weber G, et al. Endocrine

manifestations of paediatric intracranial germ cell tumours:

from diagnosis to long-term follow-up. Endocrine.

;77(3):546-555.

Sethi RV, Marino R, Niemierko A, et al. Delayed diagnosis

in children with intracranial germ cell tumors. J Pediatr.

;163(5):1448-53.

Lo AC, Hodgson D, Dang J, et al. Intracranial Germ Cell

Tumors in Adolescents and Young Adults: A 40-Year MultiInstitutional Review of Outcomes. Int J Radiat Oncol Biol

Phys. 2020;106(2):269-278.

Wu CC, Guo WY, Chang FC, et al. MRI features of pediatric

intracranial germ cell tumor subtypes. J Neurooncol.

;134(1):221-230.

Takami H, Fukuoka K, Fukushima S, et al. Integrated

clinical, histopathological, and molecular data analysis

of 190 central nervous system germ cell tumors from the

iGCT Consortium. Neuro Oncol. 2019;21(12):1565-1577.

Như NTQ, Văn NĐ. Chẩn đoán và điều trị u tế bào mầm nội

sọ tại Bệnh viện Nhi Đồng 2 từ 05/2020 đến 05/2022. Tạp

chí Nhi khoa 2022;15( 2&3).

Matsutani M, Sano K, Takakura K, et al. Primary intracranial

germ cell tumors: a clinical analysis of 153 histologically

verified cases. J Neurosurg. 1997;86(3):446-55.

Published 28-12-2024
Fulltext
PDF (Tiếng Việt)     21    9
Language
Issue No. 90 (2023)
Section Original article
DOI 10.38103/jcmhch.90.13
Keywords

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital

Nguyen Thuy Dung, & Tran Thu Ha, Nghiem Ngoc Linh, Pham Thi Hong, Phung Tuyet Lan. (2024). Clinical and subclinical characteristics of intracranial germ cell tumor in children. Journal of Clinical Medicine Hue Central Hospital, (90), 84–89. https://doi.org/10.38103/jcmhch.90.13