Journal of Pediatric Neurology 2008; 06(02): 159-163
DOI: 10.1055/s-0035-1557449
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Suprasellar mixed malignant germ cell tumor: Case report and review of the literature

Robert Hirschl
a   Department of Neurological Surgery, The Ohio State University Medical Center, Columbus, OH, USA
,
Mirza N. Baig
a   Department of Neurological Surgery, The Ohio State University Medical Center, Columbus, OH, USA
,
Chris Karas
a   Department of Neurological Surgery, The Ohio State University Medical Center, Columbus, OH, USA
,
Ryan Gasser
b   College of Medicine and Public Health, The Ohio State University, Columbus, OH, USA
,
Scott W. Elton
c   Department of Neurosurgery, Outpatient Care Center, Columbus Children's Hospital, Columbus, OH, USA
› Author Affiliations

Subject Editor:
Further Information

Publication History

12 April 2007

16 September 2007

Publication Date:
30 July 2015 (online)

Abstract

A 14-year-old girl with a suprasellar mixed malignant germ cell tumor was treated with complete surgical resection, chemotherapy, and radiation therapy. We performed a literature search to explore the current treatment options and prognosis of such a diagnosis. In reviewing the literature on mixed germ cell tumors, it appears that platinum-based chemotherapy regimens combined with radiation therapy provide the best outcome in terms of survival rates. Although controversial and debated, initial therapy should include surgical resection or a stereotactic biopsy when resection is not possible. By obtaining tissue for histopathology, one can tailor treatment plans accordingly and provide greater prognostic accuracy. In this case report, all three therapeutic modalities were used in the treatment of a mixed malignant germ cell tumor. Thus far, 20 months posttreatment, the patient is doing well and is neurologically intact, but diagnosis and treatment were relatively recent. Only time will tell the efficacy of this treatment plan.