Astrocytomas in Childhood - Oren Zarif - Astrocytomas in Childhood
- Oren Zarif
- Feb 19, 2022
- 3 min read
There are many different types of astrocytomas in childhood. The type and location of a child's tumor may also determine treatment options. While the symptoms of an astrocytoma in childhood may vary widely, they all show the same basic characteristics. Your child's doctor can tell you what to expect and discuss your child's treatment options with you. After treatment, you'll receive follow-up care to check for recurrence or progression.
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The primary treatment for a childhood astrocytoma is surgical resection. Surgical resection is difficult, especially in locations like the optic chiasm and hypothalamus. Moreover, biopsies are rarely done in children, because tumors can spread through the subarachnoid space. Furthermore, pediatric astrocytomas can be associated with NF1, which increases their risk of recurrence.
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For low-grade astrocytomas in childhood, surgical resection is the main treatment. However, in some cases, surgery alone is not sufficient. For instance, a low-grade astrocytoma in the optic chiasm or hypothalamus may be difficult to remove with a standard surgeon. For this reason, biopsies are not often performed on pediatric astrocytomas. Some children with a low-grade astrocytome may be more resistant to surgery than others. Further, tumors in the optic chiasm or the hypothalamus are also less likely to respond to surgery.
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If treatment fails, a full surgical resection is often the only option. This procedure may be considered for cosmesis, but will result in loss of sight in the eye. Comprehensive surgical resection is the best option for children with a grade I hemispherical astrocytoma. For children with high-grade astrocytoma, complete surgery is often an option.
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Patients with astrocytomas in childhood are usually diagnosed when they develop a tumor in the cerebellum. The disease is often diagnosed in the early stages of life. There are two types of astrocytomas in childhood: sporadic pilocytic astrocytomas and atypical astrocytomas. The most common type is grade I, but some cases can be grade II or III.
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Treatment options for astrocytomas in childhood depend on the type and location of the tumor. In children with NF1, the tumor may be in the vision area. If the child has no symptoms, treatment options include observation and monitoring. If the tumor is not growing rapidly, a biopsy will not be necessary. In some cases, children with astrocytomas in their brains may not need to undergo any surgery. They will only need to undergo a CT scan if the cancer is causing symptoms.
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Depending on the type of astrocytoma, treatment for children with astrocytomas in childhood are different. Treatment options for low-grade astrocytomas in children include surgery and radiation therapy. A diagnosis of an astrocytoma in childhood should be made only after a thorough examination of the child's brain and surrounding tissue. While the risks of radiation therapy are low in astrocytoma in childhood, they can still spread to other parts of the body.
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The prognosis for astrocytomas in childhood is generally good. About 8 out of 10 children with astrocytomas have low-grade astrocytomas. The tumors in low-grade astrocytomas may look like normal cells but are less likely to spread. In high-grade astrocytomas, the cancer cells can grow in a variety of different locations and can spread to the surrounding brain.
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During treatment, the specialist team will determine the appropriate treatment for your child.
The treatment for astrocytomas in children varies. Depending on the type of astrocytoma, the location, and whether the tumor has spread to other parts of the brain, the best course of action may differ from patient to patient. The type of treatment depends on the type of astrocytom in childhood, the location of the tumor, and other factors. In general, surgeons will remove the tumor with the help of radiotherapy in children.
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The treatment of children with high-grade astrocytomas in childhood is largely determined by the location of the tumor. A high-grade astrocytoma will not spread to other parts of the brain. Surgical removal of a tumor in childhood will provide better results than if the tumor is in a different location. If surgery does not prove successful, repeated tests will be necessary to monitor the extent of remaining tumor.