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[Brain tumors in children].

T Lundar1, I A Langmoen, K H Hovind

  • 1Nevrokirurgisk avdeling, Rikshospitalet, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 30, 1990
PubMed
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Pediatric brain tumors diagnosed via imaging and treated surgically showed favorable outcomes. Most children with brain tumors, even high-grade malignancies, experienced good recovery and survival post-treatment.

Area of Science:

  • Neuro-oncology
  • Pediatric neurosurgery
  • Diagnostic imaging in pediatric oncology

Context:

  • This study retrospectively analyzed 100 pediatric patients (0-19 years) diagnosed with brain tumors between 1984-1988.
  • Primary surgical treatment data was collected, excluding non-neoplastic lesions and residual tumor operations.
  • Tumor characteristics and treatment outcomes were evaluated based on location and grade.

Purpose:

  • To assess the outcomes of primary surgical treatment for pediatric brain tumors.
  • To correlate tumor location (supratentorial vs. infratentorial) with malignancy grade.
  • To evaluate the tolerability and efficacy of neurosurgical procedures and adjuvant radiotherapy in children.

Summary:

  • Supratentorial tumors (54) were predominantly benign/low-grade (72%), while infratentorial tumors (46) showed a higher incidence of high-grade malignancies (59%).

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  • Children tolerated major neurosurgical procedures well, with a low per- and postoperative mortality rate of 1%.
  • Postoperative radiotherapy was administered to 42 children with high-grade malignancies, and 80 children survived, with 62 in excellent condition after a median follow-up of 40 months.

    • Impact:

    • Highlights the generally favorable prognosis for pediatric brain tumors treated surgically, especially supratentorial types.
    • Demonstrates the feasibility and safety of aggressive neurosurgical interventions in pediatric patients.
    • Provides long-term outcome data supporting the effectiveness of multimodal treatment strategies including surgery and radiotherapy for pediatric brain malignancies.