Pediatric Primary Anaplastic Ganglioglioma: A Case Report and Review of the Literature (original) (raw)

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Case Reports| August 21 2012

Silvia Scoccianti;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Benedetta Agresti;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Beatrice Detti;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Samantha Cipressi;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Davide Franceschini;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Daniela Greto;

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Iacopo Sardi;

cPediatric OncoHematology Unit and

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Annamaria Buccoliero;

dPathology Unit, Anna Meyer Children’s Hospital, Florence, Italy

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Maurizio Aricò;

cPediatric OncoHematology Unit and

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Giampaolo Biti

aRadiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, and

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Pediatr Neurosurg (2012) 48 (1): 35–41.

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Silvia Scoccianti, Flavio Giordano, Benedetta Agresti, Beatrice Detti, Samantha Cipressi, Davide Franceschini, Daniela Greto, Federico Mussa, Iacopo Sardi, Annamaria Buccoliero, Maurizio Aricò, Lorenzo Genitori, Giampaolo Biti; Pediatric Primary Anaplastic Ganglioglioma: A Case Report and Review of the Literature. _Pediatr Neurosurg 1 October 2012; 48 (1): 35–41. https://doi.org/10.1159/000340067

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Abstract

Gangliogliomas with anaplastic features are classified as grade III tumors by the World Health Organization. The clinical course and optimal treatment of anaplastic gangliogliomas have not been well understood to date. We report a case of a primary pure anaplastic ganglioglioma in a 14-year-old male treated with surgery and radiotherapy, who is disease-free 6 years after the diagnosis. A review of primary pure anaplastic gangliogliomas in children (between 3 and 21 years of age) is presented. Gross total removal and focal radiotherapy with a total dose of 54 Gy are recommended. The addition of chemotherapy should be evaluated. Prospective studies are needed to identify an appropriate chemotherapy schedule and to define biological factors in order to select those patients with a poor prognosis, who are to be treated with a more aggressive therapy.

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© 2012 S. Karger AG, Basel

2012

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