Contemporary Management of Pineoblastoma

被引:24
作者
Tate, Matthew C. [1 ]
Rutkowski, Martin J. [1 ]
Parsa, Andrew T. [1 ]
机构
[1] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94117 USA
关键词
Pineoblastoma; Survival; Treatment; PINEAL REGION TUMORS; PARENCHYMAL TUMORS; SURVIVAL; ADULTS; BRAIN;
D O I
10.1016/j.nec.2011.05.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pineoblastomas (PBs) represent the most aggressive of the pineal parenchymal tumors. Routine treatment consists of operative management of obstructive hydrocephalus and cerebrospinal fluid studies followed by maximal resection and adjuvant chemotherapy/radiotherapy, resulting in a median survival of 20 months. Important prognostic factors for survival of patients with PB include extent of resection, age at presentation, disseminated disease, and craniospinal radiotherapy. Novel strategies being evaluated for the treatment of PB include high-dose chemotherapy with autologous stem cell therapy, stereotactic radiosurgery, and histone deacetylase inhibitors.
引用
收藏
页码:409 / +
页数:5
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