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There are many ways you can help children and their families get the care they need.
At Dana-Farber/Boston Children's Cancer and Blood Disorders Center, we understand that a diagnosis of germinoma can cause concern for your child's future growth and development. You are probably wondering where to go from here and how to make sure your child receives the best possible care.
All of the members the Pediatric Brain Tumor Center at Dana-Farber/Boston Children's are here to help. Our specialists are dedicated to anticipating any complications that your child may experience and developing the best therapeutic plans to manage them.
How are germinomas treated?
Initial treatment for germinomas depends on what is found in the actual tissue from the biopsy. Doctors first need to determine whether the tumor is a pure germinoma or a mixed germinoma. Based on that information, the therapy will differ.
A pure germ cell tumor will not need a resection (surgical removal) because it will respond well to radiation and chemotherapy. A mixed germ cell tumor may be resected completely initially but if this is too difficult, a biopsy may be performed for diagnosis, followed by chemotherapy to shrink the tumor before a resection is done to remove it.
What treatment options are available?
There are different treatment measures that may be used to treat children with germinoma tumor, including:
Chemotherapy can be given:
What is the long-term outlook for my child?
Germinomas carry a relatively excellent prognosis and management has therefore focused on reducing morbidity. It's very unlikely that the tumor will spread outside the central nervous system. In general, germinomas are cured in greater than 85 percent of cases with combined treated.
However, many children will face physical, psychological, social and intellectual challenges related to their treatment, which requires ongoing assessment and specialized care.
Children treated for a germinoma should consider visiting a survivorship clinic every year. The Dana-Farber/Boston Children's established the Stop & Shop Family Pediatric Neuro-Oncology Outcomes Clinic, a multi-disciplinary program designed to address long-term health and social issues for families and survivors of childhood brain tumors.
In this program, children can learn:
The School Liaison and Back to School Programs are two services that address intellectual and motor function by providing individualized services to ease children's return to school and maximize their ability to learn.
To learn more about our services or to schedule an appointment, please click here,
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”