Surgical outcomes of cerebellar tumors in children.
Cerebellar tumors in childhood are generally associated with a favorable outcome if they are managed appropriately. 27 cases of pediatric cerebellar tumors, operated over a 7-year period, are presented. Histopathological diagnoses were as follows: pilocytic astrocytoma (48.2%); medulloblastoma (22.2%); ependymoma (18.5%); fibrillary astrocytoma grade III (3.7%); cystic oligodendroglioma (3.7%), and hemangioblastoma (3.7%). Microscopic gross total resection was achieved in 16 (59.3%) of 27 cases. The total removal of pediatric cerebellar tumors without neurological deficit is possible with appropriate microsurgical techniques excluding brain stem invasion. The follow-up periods must be shorter if brain stem invasion exists. Radiotherapy and chemotherapy are the adjuvant therapies according to the pathological diagnosis and the patient's age.
Akay
Kamil Melih
KM
Department of Neurosurgery, Gulhane Military Medical Academy, TR-06018 Etlik-Ankara, Turkey.
Izci
Yusuf
Y
Baysefer
Alper
A
Atabey
Cem
C
Kismet
Erol
E
Timurkaynak
Erdener
E
D000293:Adolescent; D001254:Astrocytoma / Q000473:pathology / Q000601:surgery*; D002528:Cerebellar Neoplasms / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D002648:Child; D002675:Child, Preschool; D004806:Ependymoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008527:Medulloblastoma / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome