Central neurocytomas in children: Clinicopathologic features and long-term surgical outcomes

Zhang, Liang; Fang, Sheng; Li, Xueji

doi:10.1007/s00381-022-05663-9

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Currently, surgery is considered the gold standard for treating CN. Han et al conducted a single-center study involving 67 patients and found that complete tumor resection was the preferred treatment (22). In particular, patients with GTR have a favorable prognosis and a significantly lower risk of CN recurrence.…”

Section: Primary Site Surgery (Therapy)mentioning

confidence: 99%

“…According to the findings of Han et al, RT is not recommended following complete tumor resection. After the complete excision of the atypical CNs, adjuvant RT was not recommended, and close radiographic follow-up was required (22). In patients with incomplete tumor resections, adjuvant RT should be advocated (27); moreover, postoperative RT can improve OS in these patients.…”

Section: Radiotherapymentioning

confidence: 99%

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Clinical prognostic factors for central neurocytoma and subgroup analysis of different treatment measures: A SEER database-based retrospective analysis from 2003 to 2019

Zhang

Yu²,

Zhang³

et al. 2023

Front. Oncol.

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PurposeThe study aimed to identify clinical prognostic factors affecting overall survival (OS) in patients with central neurocytoma (CN) and to determine independent prognostic factors in the subgroups of different treatment modalities using a retrospective analysis based on the SEER database from 2003 to 2019.Materials and methodsData regarding patients with CN, including basic clinical characteristics, treatment measures, and prognosis follow-up, were extracted from the SEER database. The prognostic variables for all patients were assessed using log-rank test as well as univariate and multivariate analyses based on the Cox proportional hazards model. The same statistical methods were used for analysis in different subgroups of gross total resection (GTR), subtotal resection (STR), no surgery, radiotherapy (RT), and no RT.ResultsIn total, 413 patients were enrolled in this study. Tumor size, primary site surgery, and RT were independent prognostic factors in all patients with CN. In subgroup analyses, RT was not an independent prognostic factor in patients with GTR. However, sex and race were independent prognostic factors in patients with STR. Additionally, tumor size was an independent prognostic factor in patients who did not undergo surgery. Furthermore, sex and primary site were independent prognostic factors in patients who received RT. Size and primary site surgery were independent prognostic factors in patients without RT.ConclusionIn our study, patients with small tumors or GTR or those who did not receive RT showed a better prognosis. GTR was the preferred treatment for CN. RT was not recommended for patients after GTR. Men and African American showed certain advantages after STR surgery. Tumors with a size of >4 cm were recommended for active treatment. In the RT subgroup, patients with tumors outside the ventricle or women had a poorer prognosis than those with tumors within the ventricle or men, respectively. These findings will help clinicians and patients understand the treatment and prognosis of CN visually and intuitively.

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Section: Primary Site Surgery (Therapy)mentioning

confidence: 99%

Section: Radiotherapymentioning

confidence: 99%