Is chemotherapy effective therapy for intracranial immature teratoma? A case report

Maria L. Garrè, Mohamed Omar El-Hossainy, Paola Fondelli, Ulrich Göbel, Massimo Brisigotti, Paolo Tortori Donati, Marilina Nantron, Marcello Ravegnani, Alberto Garaventa, Bruno De Bernardi

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND. Intracranial immature teratomas (IT) are very rare germ cell tumors (GCT). The value of chemotherapy in their treatment has not been defined. METHODS. A child was referred to our hospital for consultation regarding the need for adjuvant treatment after being operated upon twice (at the age of 7 months and 11 months) for a large supratentorial intracerebral mass. The patient was staged and the tumor specimens reviewed. Histology was that of an IT with no other type of malignant GCT. RESULTS. Considering the age, lack of any sign of residual tumor by computed tomography and magnetic resonance imaging, absence of tumor cells in the spinal fluid or elevation of tumor markers, and based on the reported poor response of such tumors to chemotherapy, a policy of 'wait and see' was adopted. One month later, the child presented with a rapidly growing intracranial mass invading the cranial hones on the left side. Chemotherapy consisting of 4 cycles of carboplatin, etoposide, and bleomycin followed by another 4 cycles of ifosfamide, vincristine, and dactinomycin alternating with carboplatin and etoposide, achieved complete remission, and 24 months after discontinuation of treatment, the patient continued free of disease. CONCLUSIONS. This report indicates that chemotherapy may be effective therapy for intracranial IT. In our patient, chemotherapy modified the natural aggressive behavior of this disease and achieved a persistent, complete remission. Given the minimal information available in the literature concerning the response of IT to chemotherapy, this case addresses the issue of whether chemotherapy alone is adequate to treat intracranial germ cell tumors.

Original languageEnglish
Pages (from-to)977-982
Number of pages6
JournalCancer
Volume77
Issue number5
DOIs
Publication statusPublished - Mar 1 1996

Keywords

  • chemotherapy
  • germ cell tumors
  • intracranial teratoma

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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