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Brain as sanctuary site of relapse in germ cell cancer patients previously treated with chemotherapy

Brain as sanctuary site of relapse in germ cell cancer patients previously treated with chemotherapy
Brain as sanctuary site of relapse in germ cell cancer patients previously treated with chemotherapy
Background: Post chemotherapy isolated relapse to the brain of germ cell cancer is potentially curable.
Patients and methods: We reviewed the experience of germ cell cancer with cerebral metastases at the CRC Wessex Medical Oncology Unit in Southampton. Patients were classified according to their presentation (initial diagnosis, solitary relapse or widespread). Treatment and outcome of these patients is presented and compared with previous series.
Results: Of 1049 patients treated for metastatic germ cell cancer, 15 were diagnosed with cerebral metastases. Six patients had cerebral sanctuary site relapse, and underwent resection and cranial irradiation. Four of these are continuously disease free after treatment at 2, 67, 96, and 145 months from therapy, another is receiving chemotherapy for limited systemic relapse and the sixth has relapsed and died. Three further patients relapsed with cerebral disease in the presence of active disease elsewhere and each progressed and died. The final six patients had cerebral disease at presentation of whom five have progressed and died.
Conclusions: Isolated cerebral metastases occurring after successful systemic chemotherapy for germ cell cancer are curable. An aggressive salvage approach with surgery followed by radiotherapy is indicated.
cerebral metastases, germ cell cancer, sanctuary site
0936-6555
287-293
Crabb, S.J.
bcd1b566-7677-4f81-8429-3ab0e85f8373
McKendrick, J.J.
7172a026-8079-4cf0-abce-9cb58e6db9af
Mead, G.M.
8a97f978-9c66-4a16-bb03-dd83d20b06a0
Crabb, S.J.
bcd1b566-7677-4f81-8429-3ab0e85f8373
McKendrick, J.J.
7172a026-8079-4cf0-abce-9cb58e6db9af
Mead, G.M.
8a97f978-9c66-4a16-bb03-dd83d20b06a0

Crabb, S.J., McKendrick, J.J. and Mead, G.M. (2002) Brain as sanctuary site of relapse in germ cell cancer patients previously treated with chemotherapy. Clinical Oncology, 14 (4), 287-293. (doi:10.1053/clon.2002.0075).

Record type: Article

Abstract

Background: Post chemotherapy isolated relapse to the brain of germ cell cancer is potentially curable.
Patients and methods: We reviewed the experience of germ cell cancer with cerebral metastases at the CRC Wessex Medical Oncology Unit in Southampton. Patients were classified according to their presentation (initial diagnosis, solitary relapse or widespread). Treatment and outcome of these patients is presented and compared with previous series.
Results: Of 1049 patients treated for metastatic germ cell cancer, 15 were diagnosed with cerebral metastases. Six patients had cerebral sanctuary site relapse, and underwent resection and cranial irradiation. Four of these are continuously disease free after treatment at 2, 67, 96, and 145 months from therapy, another is receiving chemotherapy for limited systemic relapse and the sixth has relapsed and died. Three further patients relapsed with cerebral disease in the presence of active disease elsewhere and each progressed and died. The final six patients had cerebral disease at presentation of whom five have progressed and died.
Conclusions: Isolated cerebral metastases occurring after successful systemic chemotherapy for germ cell cancer are curable. An aggressive salvage approach with surgery followed by radiotherapy is indicated.

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Published date: 2002
Keywords: cerebral metastases, germ cell cancer, sanctuary site

Identifiers

Local EPrints ID: 26257
URI: http://eprints.soton.ac.uk/id/eprint/26257
ISSN: 0936-6555
PURE UUID: 4a69304e-0037-4eae-88ac-5e45e911435b

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Date deposited: 19 Apr 2006
Last modified: 15 Jul 2019 19:14

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Contributors

Author: S.J. Crabb
Author: J.J. McKendrick
Author: G.M. Mead

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