The most common solid tumor in children is a brain tumor, accounting for 30-40% of all pediatric brain tumors and 17.6% of all malignant brain tumors. Some subtypes of childhood astrocytomas are associated with specific conditions, including neurofibromatosis-1 (NF-1), tuberous sclerosis (TS) and epilepsy. Among all children, the highest incidence of astrocytoma occurs between ages four and six.
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Treatment for astrocytoma in childhood varies, depending on the location of the tumor and whether it has spread. More aggressive tumors generally require more aggressive treatment. Doctors consider a number of factors, including the patient's age, health, and other conditions. Young children should not undergo radiation therapy as it could have serious side effects. However, if a child's tumour is located near the brain stem, surgical resection may be required.
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After surgical removal of the tumor, chemotherapy and other treatment options are available. Depending on the stage of the cancer, it may require multiple treatments. Surgery is often the first choice, as a complete removal of the tumor will allow the doctor to monitor its progress or recurrence. Follow-up visits should be scheduled for at least 12 months after surgery. If there are any recurrences, a recurrence of the cancer or progression of the tumor, it may be recommended that the child receives a combination of therapies.
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Once a diagnosis is confirmed, children with childhood astrocytomas will typically undergo radiation therapy. This procedure is technically challenging, and should be performed by a pediatric center that specializes in this procedure. For more information, see table 4 below. The treatment options for children with childhood astrocytomas are described in detail in Smith MA, Altekruse SF, and Adamson PC. They discuss the options available to children with high-grade astrocytomas.
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There is no specific treatment for astrocytoma. The most common treatment for astrocytomas is surgery. Depending on the location of the tumor in the brain, a child may experience no symptoms. If the tumor is in the cerebrum, however, surgery may not be enough. In this case, chemotherapy is required. The patient will need to be hospitalized for several weeks. If the surgery is unsuccessful, the patient will likely undergo radiation.
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Children with astrocytomas may receive multiple treatments to control the symptoms. The most common treatment for children is surgery. This procedure removes the tumour in its entirety. However, this is not always an option. Some patients may require several surgeries to get a complete removal of the tumor. Some of these surgeries can damage nearby brain tissue, but fortunately, most children with astrocytoma will have no complications after treatment.
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Fortunately, there are now treatments for childhood astrocytomas that are much less invasive than surgery. Some pediatric astrocytomas can be cured with surgery, but it is not always possible. Some children may require other treatments. Although astrocytomas are not life-threatening, they can be disabling and have to be removed surgically. The removal of the tumour should be the last resort in these cases.
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While there is no specific treatment for astrocytomas in children, surgical resection is a primary option for the most common type of astrocytoma. Depending on where the tumor is located, surgery may be an option, but it may not be the best choice for some patients. There are two main types of astrocytomas in children: the pediatric type and the malignant type. The latter is more aggressive than the former.
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The treatment of astrocytomas in children depends on the location and extent of the tumour. There are many ways to treat astrocytomas in childhood. One option is to have the tumour removed surgically. While this may be the best option, it can also cause damage to surrounding normal brain tissue. For this reason, parents should carefully discuss any potential treatment options with their children's doctors. This is especially true when astrocytoma treatment is not appropriate for the child's specific condition.
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Unlike many other tumors, astrocytomas in children can occur anywhere in the CNS. The locations of high-grade astrocytomas in children are usually the same as those of glial tumors in adults. Occasionally, they can spread to other parts of the body, but this is rare. In such cases, surgery is the best choice. The first step in the treatment process is to diagnose the astrocytoma.
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