Pediatric papillary tumors of the pineal region: to observe or to treat following gross total resection?

作者：Abela Lucia; Rushing Elisabeth Jane; Ares Carmen; Scheer Ianina; Bozinov Oliver; Boltshauser Eugen; Grotzer Michael A^*

来源：Child's Nervous System, 2013, 29(2): 307-310.

DOI：10.1007/s00381-012-1935-1

• Brain tumor
• Child
• Proton beam irradiation
• Outcome

Papillary tumors of the pineal region (PTPR) are rare brain tumors characterized by frequent local recurrences. Standardized treatment strategies are not yet defined.
We present the case of a 3-year-old girl diagnosed with PTPR. Due to her young age, adjuvant radiotherapy was omitted after gross total tumor resection. Thirty-six months later, local tumor recurrence occurred. Considering the possible risks of secondary surgery, the recurrent tumor was irradiated with proton radiotherapy. Three months later, the tumor showed near-complete remission.
Based on this experience and other pediatric case reports from the literature, local radiotherapy might be suggested also after complete tumor resection.

• 出版日期2013-2