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Non - germinomatous GCT

Treatment

Europe

(SIOP GCT II)

North America

(ACNS 1123)

Japan (Asia)

RT volume

Local (M0)

CSI/boost (M+)

Whole ventricular /

boost (M0)

CSI / boost (M+)

CSI / boost (M0-

M+)

Dose

prescription

30 Gy CSI (M+)

54 Gy local

(M0)

30.6 (WV-RT or CSI)

23.6 Gy boost

Japan (M0-M+)

30 Gy CSI

24-30 Gy (boost)

Chx.

protocol

4 x PEI (cispl /

etop / ifosph)

HD chx in high

risk pat.

before RT

6 x carbopl. /

etoposide / ifosfamide

before RT&

Japan

5 x ICE ( ifosph/,

cisplatin /etop.)

before RT

Protocols Europe / North America / Asia