1987
DOI: 10.1159/000120311
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Current Management of Low-Grade Astrocytomas of Childhood

Abstract: Astrocytomas are the most frequently encountered brain neoplasms in the pediatric age group. Current management strategies consist of surgery, radiation therapy, chemotherapy and immunotherapy, although the optimal treatment is yet to be defined. It is hoped that new treatment modalities, and reassessment of current regimens will improve outcome, better in terms of survival and quality of life.

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Cited by 22 publications
(11 citation statements)
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“…Complete resection is the goal in surgical treatment of PAs (12). In the hypothalamic/chiasmatic region, however, GTR is difficult and carries a risk of damage to the pituitary gland, optic apparatus, hypothalamic structures, and carotid arteries (28). This raises several important questions regarding the longterm behavior of residual tumor.…”
Section: Discussionmentioning
confidence: 99%
“…Complete resection is the goal in surgical treatment of PAs (12). In the hypothalamic/chiasmatic region, however, GTR is difficult and carries a risk of damage to the pituitary gland, optic apparatus, hypothalamic structures, and carotid arteries (28). This raises several important questions regarding the longterm behavior of residual tumor.…”
Section: Discussionmentioning
confidence: 99%
“…Systemic chemotherapy has been used to treat children under 3-5 years of age, children with disease progression despite radiation therapy, and patients with multicentric disease [20,[25][26][27][28][29]. Chemotherapy is an alternative to external irradiation in patients under 3-5 years of age, thereby avoiding the deleterious effects of radiation therapy [6,13,26,30].…”
Section: Discussionmentioning
confidence: 99%
“…Low grade gliomas are sensitive to chloroethylnitrosoureas [26]. Response or stabilization have been reported using different multi-agent chemotherapy protocols: actinomycin D and vincristine [25,28]. B CNU and 5-fluorouracil [26], 6-thioguanine, procarbazine, dibromodulcitol, CCNU, and vincristine [20,26], and CCNU [29].…”
Section: Discussionmentioning
confidence: 99%
“…Typically located near the foramen of Monroe, SEGAs may cause hydrocephalus as a result of outflow obstruction. As these tumors are usually not sensitive to irradiation or chemotherapy, surgical resection is the treatment of choice [39]. Recently, rapamycin has been shown to cause regression of astrocytomas in TSC [40•].…”
Section: Tuberous Sclerosis Complexmentioning
confidence: 99%