Growth and weight of children with craniopharyngiomas based on the tumour location and growth pattern.
This study aimed to characterise the weight and growth of children with craniopharyngiomas and to analyse the role of the tumour location and growth pattern in the development of obesity and growth retardation in these children. We retrospectively analysed the records of 109 consecutive children with primary craniopharyngiomas. The patients were divided into two subgroups according to the location of the tumour: intrasellar (Group A); and the floor of the third ventricle (Group B). Height and body mass index were measured at standardised ages and at time points before, after, and at the time of diagnosis. Endocrinological and hypothalamic measurements before and after surgery were compared. Reduced growth rates occurred in early infancy and persisted until diagnosis in Group A, but were only present from age 5-6 in Group B. Therefore, reduced growth rates occur early in the history of intrasellar tumours, whereas rapid postoperative weight gain invariably occurs in patients with third ventricle tumours, which is a significant predictive factor for severe long term obesity in patients with childhood craniopharyngiomas.
Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou Street North 1838, Guangzhou 510515, Guangdong, China. Electronic address: sjwkqisongtao@126.com.
Songtao
S
Qi
Junxiang
J
Peng
Jun
J
Pan
Xi'an
X
Zhang
Yuntao
Y
Lu
Jun
J
Fan
Guanglong
G
Huang
D000293:Adolescent; D001835:Body Weight / Q000502:physiology*; D002648:Child; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D003397:Craniopharyngioma / Q000473:pathology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D010911:Pituitary Neoplasms / Q000473:pathology / Q000503:physiopathology*; D012189:Retrospective Studies
Childhood craniopharyngiomas; Growth; Growth pattern; Tumour location; Weight