Treatment Option Overview
There are different types of treatment for children with brain stem glioma. Different types of treatment are available for children with brain stem glioma. Some treatments are standard (the currently used treatment),and some are being tested in clinical trials. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for ...
Recurrent Pituitary Tumors Treatment
Standard Treatment Options for Recurrent Pituitary TumorsStandard treatment options for recurrent pituitary tumors include the following:Radiation therapy for postsurgical recurrence, which offers a high likelihood of local control.[1,2]Reirradiation, which provides long-term local control and control of visual symptoms.The question and selection of further treatment for patients who relapse is dependent on many factors, including the specific type of pituitary tumor, prior treatment, visual and hormonal complications, and individual patient considerations. Treatment Options Under Clinical Evaluation for Recurrent Pituitary TumorsTreatment options under clinical evaluation for recurrent pituitary tumors include the following:Stereotactic radiation surgery.[4,5,6]Current Clinical TrialsCheck for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with recurrent pituitary tumor. The list of clinical trials can be further narrowed by
Evidence of Benefit
Evidence of screening effect derives from descriptive studies of local and national programs in Japan,uncontrolled pilot experiences at a number of sites in Europe and the United States,and population-based studies in Canada and Germany.[ 1,2,3,4,5,6 ] [ 7 ] An increase in survival rates among screen-detected cases would be expected if screening was detecting neuroblastoma at an ...
Treatment of Childhood High-Grade Astrocytomas
To determine and implement optimum management, treatment is often guided by a multidisciplinary team of cancer specialists who have experience treating childhood brain tumors. The therapy for both children and adults with supratentorial high-grade astrocytoma includes surgery, radiation therapy, and chemotherapy. Outcome in high-grade gliomas occurring in childhood may be more favorable than that in adults, but it is not clear if this difference is caused by biologic variations in tumor characteristics, therapies used, tumor resectability, or other factors that are presently not understood. The ability to obtain a complete resection is associated with a better prognosis. Radiation therapy is administered to a field that widely encompasses the entire tumor. The radiation therapy dose to the tumor bed is usually at least 54 Gy. Despite such therapy, overall survival rates remain poor. Similarly poor survival is seen in children with spinal cord primaries and children with
Treatment of Childhood Low-Grade Astrocytomas
To determine and implement optimum management, treatment is often guided by a multidisciplinary team of cancer specialists who have experience treating childhood brain tumors. In infants and young children, low-grade astrocytomas presenting in the hypothalamus may result in the diencephalic syndrome, which is manifested by failure to thrive in an emaciated, seemingly euphoric child. Such children may have little in the way of other neurologic findings, but can have macrocephaly, intermittent lethargy, and visual impairment. Because the location of these tumors makes a surgical approach difficult, biopsies are not always done. This is especially true in patients with neurofibromatosis type 1 (NF1). When associated with NF1, tumors may be of multifocal origin.For children with low-grade optic pathway astrocytomas, treatment options should be considered not only to improve survival but also to stabilize visual function.[3,4] Children with isolated optic nerve tumors have a
Growth Hormone-Producing Pituitary Tumors Treatment
Standard Treatment Options for Growth Hormone (GH)-Producing Pituitary TumorsStandard treatment options for GH-producing pituitary tumors include the following:Surgery (usually a transsphenoidal approach).Dopamine analogues, such as bromocriptine.Somatostatin analogues, such as octreotide. The GH-receptor antagonist, pegvisomant.[1,2]Surgery and postoperative radiation therapy.Treatment for patients with acromegaly includes surgical, radiation, and medical therapies. Treatment will depend on the size and extent of the tumor and the need for rapid cessation of hormone function that results in serious clinical sequelae (i.e., hypertension and cardiomyopathy). Microadenomectomy or macroadenoma decompression is approached transsphenoidally in most patients. Increasingly, endoscopic surgery is used to allow the entire surgical field to be viewed and to allow tumor tissue that would otherwise be inaccessible with rigid instruments to be safely resected. Complete return of GH
Incidence and Mortality About 7% of all malignancies in children under the age of 15 are neuroblastomas. About one quarter of cancers in the first year of life are neuroblastomas,making this the most frequent histological type of infant cancer.[ 1,2 ] The incidence rate of the disease in children younger than 1 year is about 35 per million but declines rapidly with age to about 1 per million ...
Treatment Options for Newly Diagnosed Childhood Craniopharyngioma
There is no consensus as to the optimal treatment of newly diagnosed craniopharyngioma. No scientifically valid study has been performed to compare the different modalities in terms of recurrence rate or quality of life.[ 1 ] For this reason,treatment is determined for each patient individually. Radical Surgery Because these tumors are histologically benign,it may be possible to remove all ...
Changes to This Summary (02 / 01 / 2013)
The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.Editorial changes were made to this summary.
Histopathologic Classification of Childhood Craniopharyngioma
Craniopharyngiomas are histologically benign and do not metastasize to remote brain locations or to areas outside the sellar region except by direct extension. They may be invasive,however,and may recur locally. They may be classified as adamantinomous or squamous papillary,with the former being the predominant form in children.[ 1 ] They are typically composed of both a solid portion with ...