Tectal Lesions in Children: A Long-Term Follow-Up Volumetric Tumor Growth Analysis in Surgical and Nonsurgical Cases

被引:10
作者
Kershenovich, Amir [1 ,3 ,4 ]
Silman, Zmira [5 ]
de Rungs, David [6 ]
Koral, Korgun [1 ,2 ]
Gargan, Lynn [1 ]
Weprin, Bradley [1 ]
机构
[1] Univ Texas Southwestern, Childrens Med Ctr, Dept Neurol Surg, Div Pediat Neurosurg, Dallas, TX USA
[2] Univ Texas Southwestern, Childrens Med Ctr, Dept Radiol, Dallas, TX USA
[3] Geisinger Hlth Syst, Janet Weis Childrens Hosp, Dept Neurosurg, Danville, PA USA
[4] Temple Sch Med, Philadelphia, PA USA
[5] Apoidea, Netanya, Israel
[6] Univ Anahuac, Fac Med, Mexico City, DF, Mexico
关键词
Tectal tumor; Hydrocephalus; Endoscopic third ventriculostomy; Ventriculo-peritoneal shunt; PLATE GLIOMAS; NATURAL-HISTORY; MANAGEMENT; HYDROCEPHALUS;
D O I
10.1159/000442795
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background/Aims: Different tectal masses have been described; most are low-grade gliomas. Only 20-30% of all lesions grow, as shown on follow-up MRIs, requiring surgical resection at some point. The aim of this study is to describe the experience of a single institution managing pediatric patients with tectal lesions. Methods: We retrospectively studied and analyzed 40 children with tectal lesions managed from 1990 to 2006; the mean age at diagnosis was 9.4 years. A volumetric classification was used to analyze tumor growth trends. More than 1 year of imaging follow-up was available for 23 patients. Results and Conclusion: Medium-and large-volume-size lesions were associated with the need for surgery. About half of the nonsurgical lesions grew at least 50% over a period of 4.5 years and did not require surgical resection. (C) 2016 S. Karger AG, Basel
引用
收藏
页码:69 / 78
页数:10
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