Intracranial germinoma: treatment with radiosurgery alone--a case report.
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.
Regine
W F
WF
University of Kentucky Medical Center, Department of Radiation Medicine, Lexington 40536-0084, USA.
Hodes
J E
JE
Patchell
R A
RA
D000328:Adult; D001932:Brain Neoplasms / Q000601:surgery*; D018572:Disease-Free Survival; D018237:Germinoma / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016634:Radiosurgery / Q000379:methods; D013238:Stereotaxic Techniques