Papillary tumor of the pineal region in pediatric patient – A case report

Author:

Nemir Jakob1,Maric Lorna Stemberger2,Trbojevic Tena3,Zarkovic Kamelija4,Jadrijević-Cvrlje Filip5

Affiliation:

1. Department of Neurosurgery, University Hospital Center Zagreb, Zagreb, Croatia.

2. Department of Pediatric Infectious Diseases, University Hospital for Infectious Diseases, Dr. Fran Mihaljevic, Zagreb, Croatia.

3. Department of Pediatrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia.

4. Department of Pathology, Clinical Medical Centre Zagreb, Zagreb, Croatia.

5. Department of Pediatrics, Division of Hematology and Oncology, Children’s Hospital Zagreb, Zagreb, Croatia.

Abstract

Background: Papillary tumor of the pineal region (PTPR) represents a rare and histologically distinct subgroup of tumors originating in the pineal region. Few pediatric cases have been reported so far in the literature; therefore, clinical data are scarce. Case Description: We describe a case of PTPR in a 9-year-old girl who presented with a 5-month history of excessive appetite and weight gain. The patient underwent neuroimaging procedures and total gross surgical resection with postoperative adjuvant local radiotherapy, which from our experience was the best treatment choice as an attempt to avoid local recurrence. During 78-month follow-up, the patient from our study manifested no disease recurrence. Conclusion: PTPR should be included in the differential diagnosis of pineal region masses.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference40 articles.

1. Pediatric papillary tumors of the pineal region: To observe or to treat following gross total resection?;Abela;Childs Nerv Syst,2013

2. Papillary tumor of pineal region with an unusual clinical presentation: Case report and review of the literature;Aggarwal;Asian J Neurosurg,2016

3. Papillary tumor of the pineal region in an adolescent;Biswas;Indian J Med Paediatr Oncol,2019

4. Papillary tumor of the pineal region: A single-center experience;Boßelmann;Neurooncol Pract,2020

5. Papillary tumor of the pineal region in a child: Case report and review of the literature;Buffenoir;Childs Nerv Syst,2008

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