Table of Contents Table of Contents
Previous Page  78 / 104 Next Page
Information
Show Menu
Previous Page 78 / 104 Next Page
Page Background

76

NCCN Guidelines for Patients

®

:

Ovarian Cancer, Version 1.2017

6

Treatment guide

Malignant germ cell tumors

Malignant germ cell tumors

Malignant germ cell tumors include malignant

tumors, dysgerminomas, immature teratomas,

embryonal tumors, and endodermal sinus (yolk

sac) tumors. These tumors are usually diagnosed

between the ages of 16 and 20 years. They are often

stage I at diagnosis. Germ cell tumors respond well

to treatment.

Initial testing for germ cell tumors may include

pulmonary function tests to check your breathing.

This is done before giving a drug like bleomycin. Your

AFP (

a

lpha-

f

eto

p

rotein) level is also checked and

can be found in the blood when germ cell tumors are

present.

Guide 23

details surgery for germ cell tumors.

Surgery is the primary treatment option for germ cell

tumors. Surgical staging and fertility-sparing surgery

are also options. If you don’t want to have babies,

then completion surgery is the type of surgery you

will have.

Guide 23. Malignant germ cell tumors with surgical staging

Diagnosis Treatment options

Initial surgery

• Fertility desired

ª

• Fertility-sparing surgery and comprehensive staging

Initial surgery

• Fertility not desired

ª

• Completion staging surgery

Prior surgery

• Completely staged

ª

• See Guides 25 and 26

for treatment options per stage