Intracranial embryonal cell carcinoma.
Publication/Presentation Date
8-1-1984
Abstract
Intracranial embryonal cell carcinoma (ECC) is a germ cell tumor most frequently found in the pineal region. However, little is known about the incidence, pattern of growth, or response to treatment of ECC. Between 1975 and 1983, 16 consecutive patients younger than age 18 with tumors of the pineal region have had biopsies performed prior to treatment, and 5 (31%) have had primary intracranial ECC. One other child had ECC in the suprasellar region. The clinical, radiographic, and histologic features of the six patients with ECC are presented and contrasted with the findings in children with other pineal region neoplasms. Pathologic confirmation is necessary to distinguish ECC from other intracranial tumors. Three patients were treated with radiation therapy (RT) plus adjuvant chemotherapy; two patients were treated with chemotherapy followed by RT; and one was treated with RT only. All patients initially responded to therapy, but only one has survived for longer than 1 year. It is concluded that biopsy is necessary for the diagnosis of ECC; that ECC is more common than currently believed; and that current treatment for intracranial ECC is unsatisfactory. Biopsy of pineal region tumors is necessary if progress is to be made in their management.
Volume
54
Issue
3
First Page
520
Last Page
524
ISSN
0008-543X
Published In/Presented At
Packer, R. J., Sutton, L. N., Rorke, L. B., Rosenstock, J. G., Zimmerman, R. A., Littman, P., Bilaniuk, L. T., Bruce, D. A., & Schut, L. (1984). Intracranial embryonal cell carcinoma. Cancer, 54(3), 520–524. https://doi.org/10.1002/1097-0142(19840801)54:3<520::aid-cncr2820540323>3.0.co;2-e
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
6733683
Department(s)
Department of Pediatrics
Document Type
Article