Evidence map›Paper›PMID 27239400›Full record

ReviewCureus2016

Re-irradiation of Recurrent Pineal Germ Cell Tumors with Radiosurgery: Report of Two Cases and Review of Literature.

Kenneth Wong, Anthony B Opimo, Arthur J Olch, Sean All, Jonathan F Waxer, Desirae Clark, Justine Cheng, Alisha Chlebik, Anat Erdreich-Epstein, Mark D Krieger and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Navigating Ambiguous Genitalia: A Case of Dysgerminoma in an Afghan Boy.International medical case reports journal · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Pediatric glossopharyngeal neuralgia: a comprehensive review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Review
  9. Article
  10. Re-induction chemotherapy regimens in patients with recurrent central nervous system mixed malignant germ cell tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Kenneth WongDepartment of Radiation Oncology, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Anthony B OpimoDepartment of Radiation Oncology, UCLA, Los Angeles, CA.
Arthur J OlchDepartment of Radiation Oncology, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Sean AllCollege of Medicine, University of Central Florida College of Medicine, Orlando, FL.
Jonathan F WaxerSchool of Medicine, Tulane University School of Medicine, New Orleans, LA.
Desirae ClarkRadiation Oncology Program, Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA.
Justine ChengMechanical Engineering Department, Massachusetts Institute of Technology, Cambridge, MA.
Alisha ChlebikRadiation Oncology Program, Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA.
Anat Erdreich-EpsteinNeuro-Oncology Program, Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA ; Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Mark D KriegerDepartment of Neurosurgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Benita TamraziDepartment of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Girish DhallPediatric Neuro-Oncology, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Jonathan L FinlayPediatric Neuro-Oncology, The Ohio State University, Nationwide Children's Hospital.
Eric L ChangDepartment of Radiation Oncology, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Massachusetts Institute of Technology · USUniversity of Central Florida · USChildren's Hospital of Los Angeles · USNationwide Children's Hospital · USUniversity of Southern California · USTulane University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary intracranial germ cell tumors are rare, representing less than 5% of all central nervous system tumors. Overall, the majority of germ cell tumors are germinomas and approximately one-third are non-germinomatous germ cell tumors (NGGCT), which include teratoma, embryonal carcinoma, yolk sac tumor (endodermal sinus tumor), choriocarcinoma, or mixed malignant germ cell tumor. Germ cell tumors may secrete detectable levels of proteins into the blood and/or cerebrospinal fluid, and these proteins can be used for diagnostic purposes or to monitor tumor recurrence. Germinomas have long been known to be highly curable with radiation therapy alone. However, many late effects of whole brain or craniospinal irradiation have been well documented. Strategies have been developed to reduce the dose and volume of radiation therapy, often in combination with chemotherapy. In contrast, patients with NGGCT have a poorer prognosis, with about 60% cured with multimodality chemoradiation. There are no standard approaches for relapsed germ cell tumors. Options may be limited by prior treatment. Radiation therapy has been utilized alone or in combination with chemotherapy or high-dose chemotherapy and transplant. We discuss two cases and review options for frameless radiosurgery or fractionated radiotherapy.

Indexed as

cns germ cell tumorframeless stereotactic radiotherapygamma knifehead immobilizationlinacradiation oncologyre-irradiationStereotactic Radiosurgery

Identifiers

PMID27239400
PMCPMC4882159
OpenAlexW2342539144

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.