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Childs Nerv Syst. 2013 Feb;29(2):307-10. doi: 10.1007/s00381-012-1935-1. Epub 2012 Oct 6.

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

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1
Department of Oncology, University Children's Hospital of Zurich, Zurich, Switzerland.

Abstract

INTRODUCTION:

Papillary tumors of the pineal region (PTPR) are rare brain tumors characterized by frequent local recurrences. Standardized treatment strategies are not yet defined.

CASE REPORT:

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.

DISCUSSION:

Based on this experience and other pediatric case reports from the literature, local radiotherapy might be suggested also after complete tumor resection.

PMID:
23053362
DOI:
10.1007/s00381-012-1935-1
[Indexed for MEDLINE]
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