Glioblastoma multiforme in children: experience at Hospital Infantil de Mexico Federico Gomez

Childs Nerv Syst. 2009 May;25(5):551-7. doi: 10.1007/s00381-008-0780-8. Epub 2009 Jan 16.

Abstract

Objective: To evaluate clinical evolution of pediatric patients diagnosed with glioblastoma multiforme (GBM) at Hospital Infantil de México Federico Gómez.

Methods: Cases of patients treated from January to May, 2007, were included in this study. Variables analyzed were: age, diagnosis, size of tumor, histopathological description, degree of resection, time of stay in hospital, complications and outcome using Pearson's chi-squared test and logistic regression.

Conclusion: Sixteen patients were identified. Mean age of presentation was 8.8. An increased frequency of complications was observed in younger patients and longer survival rates in patients with greater resections; main mode of presentation was directly related to intracranial hypertension; size of tumor was not related to evolution or outcome. Modern histological classifications especially designed for children are deemed necessary to accurately diagnose GBM.

MeSH terms

  • Age Factors
  • Brain Neoplasms / complications*
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / pathology
  • Brain Neoplasms / physiopathology
  • Chi-Square Distribution
  • Child
  • Female
  • Glioblastoma / complications*
  • Glioblastoma / diagnosis*
  • Glioblastoma / pathology
  • Glioblastoma / physiopathology
  • Hospitals, Pediatric
  • Humans
  • Intracranial Hypertension / etiology*
  • Intracranial Hypertension / physiopathology
  • Logistic Models
  • Male
  • Mexico
  • Multivariate Analysis
  • Prognosis
  • Risk Factors
  • Survival Rate