Pediatric low grade focal brainstem glioma: outcomes of different treatment strategies and prognostic factors

Author:

Elmaraghi Caroline12ORCID,Bishr Mai K3,Mousa Amr G45ORCID,Ahmed Soha26ORCID,Refaat Amal47,Elhemaly Ahmed48ORCID,Ayadi Moatasem El48,Taha Hala49,Maher Eslam10,Elbeltagy Mohamed1112,Zaghloul Mohamed S24

Affiliation:

1. Department of Clinical Oncology, Ain Shams University, Cairo, Egypt

2. Department of Radiotherapy, Children’s Cancer Hospital, CCHE 57357, Egypt

3. Department of Clinical Oncology, University College London Hospitals NHS Foundation Trust, London, UK

4. National Cancer Institute, Cairo University, Cairo, Egypt

5. Oncology Center, King Faisal Specialized Hospital & Research Center, Riyadh, Saudi Arabia

6. Department of Clinical Oncology and Nuclear Medicine. Aswan University

7. Department of Radiodiagnosis, Children's Cancer Hospital, CCHE 57357, Egypt

8. Department of Pediatric Oncology, Children's Cancer Hospital, CCHE 57357, Egypt

9. Department of Pathology, Children's Cancer Hospital, CCHE 57357, Egypt

10. Department of Research, Children's Cancer Hospital, CCHE 57357, Egypt

11. Department of Neurosurgery, Children's Cancer Hospital, CCHE 57357, Egypt

12. Faculty of Medicine, Cairo University, Cairo, Egypt

Abstract

Background: This study explores the prognostic factors and outcomes of different treatment modalities in focal brain stem glioma (FBSG). Materials & methods: Pediatric FBSG patients diagnosed during 2010–2017 were retrospectively reviewed for clinical and therapeutic data. Results: A total of 71 cases were identified and the median age was 6.4 years. The 5-year overall- and progression-free survival were 74.5 and 70.6%, respectively. Radiotherapy was the main line of treatment (66.2%) and there were no survival differences between radiotherapy, chemotherapy and surveillance groups. Two independent poor prognostic factors were identified on multivariate analysis: age <8 years and cervicomedullary tumor site (p = 0.02 for both). Conclusion: Surveillance, radiotherapy and chemotherapy have comparable clinical outcomes in pediatric FBSG.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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