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Design of protocol

Option A :

radiotherapy of craniospinal axis : 24 Gy (5 x 1.6 Gy / week)

followed by RT to tumour site : 16 Gy (5 x 1.6 Gy / week)

Total tumour dose : 40 Gy

Option B :

2 courses Carbo PEI

(600mg/m2 d1 -- VP16 150mg/m2 d1-3/22-24 – Ifosfam. 1800mg/m2 d22-26)

followed by RT to tumour site : 40 Gy (5 x 1.6 Gy / week)

SIOP CNS GCT 96 / germinoma