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Research ArticleOriginal Article
Open Access

Clinical and pathological characteristics of extra-cranial germ cell tumors

A 30-year single-center experience in Saudi Arabia

Dania A. Monagel, Aletani Tala, Alghamdi Arwa, Banjar Sereen, Hakeem Ilana, Hannef Deena, Ahmed Omaima and Elimam Naglla
Saudi Medical Journal May 2023, 44 (5) 498-499; DOI: https://doi.org/10.15537/smj.2023.44.5.20230070
Dania A. Monagel
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Aletani Tala
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Alghamdi Arwa
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Banjar Sereen
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Hakeem Ilana
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Hannef Deena
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Ahmed Omaima
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Elimam Naglla
From the College of Medicine (Monagel, Tala, Arwa, Sereen, Ilana), King Saud bin Abdulaziz University for Health Sciences; from the Department of Medical Researches (Monagel), King Abdullah International Medical Research Center; from the Department of Oncology (Monagel, Omaima, Naglla), Ministry of the National Guard- Health Affairs; from the Center of Excellence in Genomic Medicine Research (Deena), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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    Figure 1

    - Kaplan-Meier curves for overall survival and recurrence free survival from 1990-2020.

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    Table 1

    - Tumor stage in relation to tumor site and tumor markers (AFP, Beta- HCG).

    Stagen (%)SiteAFPBeta-HCG
    Stage 118 (37.5)◾ Testes: 13 patients
    ◾ Ovaries: 4 patients
    ◾ Sacro-coccyx: 1 patient
    Normal 5 patients
    High: 13 patients
    Normal: 13 patients
    High: 1 patient
    Missing: 4 patients
    Stage 26 (12.5%)◾ Testes: 1 patient
    ◾ Ovaries: 2 patients
    ◾ Sacro-coccyx: 1 patient
    ◾ Retroperitoneum: 1 patient
    ◾ Abdomen: 1 patient
    Normal: 2 patients
    High: 4 patients
    Normal: 6 patients
    Stage 310 (20.8)◾ Ovaries: 7 patients
    ◾ Sacro-coccyx: 1 patient
    ◾ Retroperitoneum: 1 patient
    ◾ Mediastinum: 1 patient
    Normal: 3 patients
    High: 7 patients
    Normal: 7 patients
    High: 2 patients
    Missing: 1 patient
    Stage 414 (29.1%)◾ Testes: 2 patients
    ◾ Ovaries: 4 patients
    ◾ Sacro-coccyx: 4 patients
    ◾ Abdomen: 2 patients
    ◾ Mediastinum: 1 patient
    ◾ Intra-orbital: 1 patient
    Normal: 3 patients
    High: 9 patients
    Missing: 4 patients
    Normal: 8 patients
    High: 3 patients
    Missing: 3 patient

    AFP: α-1-fetoprotein, HCG: human chorionic gonadotropin

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      Table 2

      - Treatment in relation to stage.

      StageNumber of patientsNo chemotherapyChemotherapy
      Stage 11816 (88.9% of stage 1)2 (11.1% of stage 1)
      Stage 265 (83.3% of stage 2)1 (16.7% of stage 2)
      Stage 3103 (30.0% of stage 3)7 (70.0% of stage 3)
      Stage 4141 (7.1% of stage 4)13 (92.9% of stage 4)
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    Saudi Medical Journal: 44 (5)
    Saudi Medical Journal
    Vol. 44, Issue 5
    1 May 2023
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    Clinical and pathological characteristics of extra-cranial germ cell tumors
    Dania A. Monagel, Aletani Tala, Alghamdi Arwa, Banjar Sereen, Hakeem Ilana, Hannef Deena, Ahmed Omaima, Elimam Naglla
    Saudi Medical Journal May 2023, 44 (5) 498-499; DOI: 10.15537/smj.2023.44.5.20230070

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    Clinical and pathological characteristics of extra-cranial germ cell tumors
    Dania A. Monagel, Aletani Tala, Alghamdi Arwa, Banjar Sereen, Hakeem Ilana, Hannef Deena, Ahmed Omaima, Elimam Naglla
    Saudi Medical Journal May 2023, 44 (5) 498-499; DOI: 10.15537/smj.2023.44.5.20230070
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    Keywords

    • germ cell tumor
    • pediatric
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