Supratentorial Parenchymal Ependymomas in Children: Experience with 14 Patients at a Single Institute.
OBJECTIVE
To study the clinical features, imaging findings, treatment methods and results, and prognosis of supratentorial parenchymal ependymomas in children.


METHODS
Fourteen children with supratentorial parenchymal ependymomas were treated by the senior author at Tiantan Hospital between October 2004 and May 2010. The clinical manifestations, neuroimaging findings, treatment methods, and therapeutic results were retrospectively reviewed.


RESULTS
The study included 11 boys and three girls. The patients were aged from 1 to 14 years with an average age of 6.1 years. Gross total surgical removal (GTR) was achieved in 10 cases, and subtotal removal (STR) was achieved in four cases. There were six ependymomas, seven anaplastic ependymomas, and one subependymoma. The mean follow-up duration was 78.9 months (range, 4?122 months). During the follow-up period, 10 patients who underwent GTR (71.4%; only 1 patient had a recurrent tumor during this time) had an excellent postoperative outcome (Karnofsky Performance Status ? 80), while four patients who underwent STR (28.6%) developed recurrent tumors and died.


CONCLUSIONS
The preoperative diagnosis of supratentorial parenchymal ependymomas is difficult. GTR can be achieved with a favorable long-term outcome using an improved microsurgical technique.
The Affiliated Hospital of Xu Zhou Medical College, Department of Neurosurgery, Xuzhou, Jiangsu Province, China.
Luxin
L
Yin
Chunde
C
Li
Shiqi
S
Luo
Zhenyu
Z
Ma
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004806:Ependymoma / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008866:Microsurgery / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods*; D011184:Postoperative Period; D012189:Retrospective Studies; D015173:Supratentorial Neoplasms / Q000601:surgery*; D016896:Treatment Outcome