Mixed germ cell tumors generally require a combination of treatments, including radiation, chemotherapy, and surgery. Mixed germ cell tumors are a type of intracranial germ cell tumor and are malignant. If the patient’s tumor is not large and does not cause severe hydrocephalus, radiotherapy or chemotherapy can be given first to reduce the size of the tumor, and then surgery can be performed. The smaller the size of the tumor, the lower the risk of surgery will be, and it is relatively safe. If the size of mixed germ cell tumor is larger, causing hydrocephalus and other symptoms, surgery should be considered first, and radiotherapy and chemotherapy are also needed after surgery, which can effectively control the condition. To sum up, patients with mixed germ cell tumor usually need to take comprehensive treatment, it is recommended to choose regular hospitals, under the guidance of doctors, choose the appropriate treatment.