title: Pediatric surgical neuro-oncology: current best care practices and strategies.
abstract: Significant advances have been made in the diagnosis and treatment of childhood brain tumors. Gross total surgical resection combined with appropriate adjuvant therapies can achieve a high rate of disease control for low grade gliomas, ependymomas and medulloblastomas. High grade gliomas, tumors involving the optic apparatus or diencepahalic structures, diffuse brainstem lesions, and recurrent or metastatic disease still pose considerable therapeutic challenges. We review the current treatment strategies of the three most common types of pediatric brain tumors: gliomas, medulloblastomas and ependymomas, and discuss current and future diagnostic and therapeutic modalities.
authors.affiliation: The Arthur and Sonia Labatt Brain Tumour Research Centre and Division of Neurosurgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. james.rutka@sickkids.ca
authors.forename: James T
authors.initials: JT
authors.lastname: Rutka
authors.forename: John S
authors.initials: JS
authors.lastname: Kuo
mesh_terms: D001932:Brain Neoplasms / Q000601:surgery*; D002648:Child; D005910:Glioma / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures