Family and the Child with a Posterior Fossa Tumor

Hahn, Yoon S.; Ciro, Erica

doi:10.1007/978-1-4613-9299-6_15

Cited by 1 publication

(3 citation statements)

References 24 publications

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“…The sitting position has also been used, despite its higher risk of air embolism. 12 Thus, ependymal tumors show a high recurrence rate. 5 In their study of 22 infants and children with posterior fossa ependymomas, Tomita, et al, 31 found that incomplete tumor resection almost invariably led to recurrence; hence, they recommended that an attempt should be made to excise posterior ependymomas totally at the initial craniotomy.…”

Section: Surgery Radiation Therapy Andmentioning

confidence: 99%

“…5 In their study of 22 infants and children with posterior fossa ependymomas, Tomita, et al, 31 found that incomplete tumor resection almost invariably led to recurrence; hence, they recommended that an attempt should be made to excise posterior ependymomas totally at the initial craniotomy. 4,12,15,21,25,26,31 It is interesting to mention that a possible postoperative resection-related complication of a posterior fossa ependymoma is mutism, a state in which a patient is conscious but unwilling or unable to speak. 27 Surgery often results in subtotal removal because many ependymomas have insinuated into critical structures such as the brainstem and/or into cranial nerves in the CPA and the associated vasculature.…”

Section: Surgery Radiation Therapy Andmentioning

confidence: 99%

“…27 Surgery often results in subtotal removal because many ependymomas have insinuated into critical structures such as the brainstem and/or into cranial nerves in the CPA and the associated vasculature. 3,12 Intracranial ependymal tumors are considered to be relatively radiosensitive. 12 Thus, ependymal tumors show a high recurrence rate.…”

Section: Surgery Radiation Therapy Andmentioning

confidence: 99%

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Intracranial ependymoma

Maksoud¹,

Hahn²,

Engelhard³

2002

FOC

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Object An intracranial ependymoma is a relatively rare but very interesting variety of glioma. In this paper, the authors compiled a review of the pathological features, imaging characteristics, and treatment strategies related to this brain tumor. Methods A Medline search was conducted using the term “ependymoma.” The bibliographies of papers obtained were also checked for articles and chapters that could provide additional understanding of this tumor. Malignant ependy-momas and ependymomas of the spinal cord (including myxopapillary ependymomas) were excluded from this review. Conclusions The posterior fossa is the most frequent site for an intracranial ependymoma. Children are frequently affected. Most authors recommend resecting as much of the tumor as is safely possible. Microscopically, ependymal tumors show both epithelial and glial features. Glial fibrillary acidic protein immunohistochemistry, therefore, helps in identifying ependymomas. Because ependymomas often recur despite surgical intervention, radiotherapy and/or radio-surgery may also play an important role in their treatment. The use of chemotherapy in the treatment of these tumors, especially in the very young, is still being studied.

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Section: Surgery Radiation Therapy Andmentioning

confidence: 99%