Most germ cell tumors that are cancerous occur as cancer of the testicles testicular cancer or cancer of the ovaries ovarian cancer. Germ cell tumors arise predominantly from within the testis, but an important subset of germ cell tumors are extragonadal in origin. One recently identified susceptibility loci for human gct is pr prdibf1 and riz domain proteins 14 prdm14. In some cases, extragonadal choriocarcinoma occurs in midline locations, such as the mediastinum. Germ cell tumors gcts are a heterogeneous group of tumors occurring in gonadal and extragonadal locations. In males, choriocarcinoma is generally considered a nonseminomatous germ cell tumor, which represents less than 5% of all germ cell tumors in males. Request pdf an overview of testicular germ cell tumors more than 90% of testicular. However, because highdose radiation can damage the brain, some hospitals combine chemotherapy with a lower dose of radiation, especially. Extragonadal mixed germ cell tumor of the right arm.
The incidence and management of metachronous testicular germ cell tumors in patients with extragonadal germ cell tumors. Gcts are hypothesized to arise from primordial germ cells pgcs, which fail to differentiate. Protocol applies to germ cell tumors located in the mediastinum, sacrococcygeal area, retroperitoneum, neck, and intracranial sites. Extragonadal germ cell tumors treatment pdqpatient.
Start here to find information on extragonadal germ cell tumors treatment. Primary extragonadal germ cell tumors are believed to arise from displaced primordial germ cells and share histological, serological, and. Germ cell tumors gcts are rare in childhood, representing only 3. Overall, approximately 5% to 10% of all germ cell cancers arise in nongonadal sites, particularly in the mediastinum and retroperitoneum. Ovarian and extragonadal malignant germcell tumors in females. Gcts can present in both gonadal and extragonadal sites. There are many kinds of germ cell tumors and only some. Extragonadal germ cell tumorspatient version national. The latter group can be divided into seminoma and nonseminoma germ cell tumors, which include the following. Germ cell tumors are growths that form from reproductive cells.
Germ cell tumors in adolescents and young adults jco oncology. In a growing fetus, germ cells typically move from a site near the middle of the body to the ovaries or testes gonads. This includes the pineal gland in the brain, the mediastinum area between the lungs, and retroperitoneum the back wall of the abdomen. Extragonadal germ cell tumors are made up of cells that form during the early development of a fetus unborn baby. If you just found out that you or your child has a germ cell tumor, you may have a lot of questions about what it means and what comes next. Extragonadal germ cell tumor eggct represents 510% of germ cell tumors and frequently occurs in mediastinum, retroperitoneum, pineal gland, or sacral area. Extragonadal germ cell tumors can be benign teratoma or malignant. They may begin to grow anywhere in the body, but usually form in the pineal gland in the brain, the chest, the lower part of the spine, or the abdomen. Rnabinding protein lin28 is a marker for primary extragonadal.
Extragonadal localization of germ cell tumors gcts is rare. Extragonadal germ cell tumors form in parts of the body outside the gonads. Some germ cell tumors occur in other areas of the body, such as the abdomen, brain and chest, though its not clear why. Germ cell tumors gcts most often arise in the gonads but some develop extragonadally. Extragonadal germcell tumors egct are estimated to represent. Germ cell tumors of miscellaneous extragonadal sites. Extragonadal germ cell tumors can be benign noncancer or malignant. The extragonadal germ cell tumors egcts represent a unique entity, and as such require specialized management. Oncology, were the ones who treated testicular and extragonadal. Only 4% of gcts are extragonadal, located at central nervous system.
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