Insight about the characteristics and surgical resectability of adult pilocytic astrocytoma: tertiary center experience

Aim: Adult pilocytic astrocytoma is a rare tumor. We aim to contribute to understanding its clinical course and prognosis. Patients & methods: We searched our database for patients older than 18 years with pathology-proven pilocytic astrocytoma. Patients’ clinical data were analyzed. Results: Fi...

وصف كامل

التفاصيل البيبلوغرافية
الحاوية / القاعدة:CNS Oncology
المؤلفون الرئيسيون: Baha'eddin A Muhsen, Abdelmajid I Aljariri, Maher Elayyan, Hawazen Hirbawi, Mahmoud A Masri
التنسيق: مقال
اللغة:الإنجليزية
منشور في: Taylor & Francis Group 2022-04-01
الموضوعات:
الوصول للمادة أونلاين:https://www.futuremedicine.com/doi/10.2217/cns-2021-0014
الوصف
الملخص:Aim: Adult pilocytic astrocytoma is a rare tumor. We aim to contribute to understanding its clinical course and prognosis. Patients & methods: We searched our database for patients older than 18 years with pathology-proven pilocytic astrocytoma. Patients’ clinical data were analyzed. Results: Fifteen patients were identified. The median age at diagnosis was 25 years (range: 18–56). Tumors were supratentorial in 47%. Gross-total and near-total resections were achieved in 40%, and sub-total resection in 47%. One (7%) recurrence and no mortality were encountered during a median follow-up of 11 months (range: 1–76). Conclusion: Pilocytic astrocytoma behaves differently in adults compared with pediatrics. It tends to arise in surgically challenging areas where the extent of resection may be limited. Total resection should be the main therapy whenever feasible. The survival rates are good, and recurrence is low.
تدمد:2045-0907
2045-0915