The importance of microsurgery in childhood meningioma: a case report

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• 作者：L. E. Kwee (1)
  M. L. C. van Veelen-Vincent (1)
  E. M. C. Michiels (2)
  J. M. Kros (3)
  R. Dammers (1)
  
  1. Department of Pediatric Neurosurgery ; Erasmus MC Sophia Children鈥檚 Hospital ; Dr. Molewaterplein 60 ; PO Box 2060 ; 3000 CB ; Rotterdam ; The Netherlands
  2. Department of Pediatric Oncology/Hematology ; Erasmus MC Sophia Children鈥檚 Hospital ; Rotterdam ; The Netherlands
  3. Department of Pathology ; Erasmus MC ; Rotterdam ; The Netherlands
  
• 关键词：Pediatric ; Meningioma ; Case report ; Microsurgery ; Recurrent
• 刊名：Child's Nervous System
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：31
• 期：1
• 页码：161-165
• 全文大小：1,501 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurosurgery
  Neurosciences
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0350

文摘

Introduction Although meningiomas are frequently diagnosed in adults, it is a rare (intracranial) tumor in the pediatric population, with an incidence of 0.06/100,000. The pathology and treatment of meningiomas in adulthood has been a topic of increasing investigation. So far, the treatment of pediatric meningiomas has been extrapolated from these results. The question remains, however, whether translation of adult meningioma data into the childhood population is legitimate. Methods We present the case of a 3-year-old girl diagnosed with an intraventricular malignant meningioma and type 2 neurofibromatosis. She was operated on multiple times to achieve complete resection and received adjuvant chemotherapy. Since, she has been stable with no neurological sequelae and/or recurrence of the meningioma. Conclusion Pediatric meningiomas are rare tumors and differ from their adult counterparts in various aspects. We believe that gross total resection of meningioma in the pediatric population, when possible, is the treatment of choice. In the event of a subtotal resection, repeat resection is recommended. Any adjuvant treatment with chemotherapy or radiation therapy should be carefully considered during multidisciplinary meetings.