Retrospective analyses of pediatric posterior fossa tumors-clinical experience Çocukluk çağı posterior fossa tümörlerinin retrospektif değerlendirilmesi-klinik deneyimimiz
Pamukkale Medical Journal, cilt.15, sa.4, ss.656-660, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 4
- Basım Tarihi: 2022
- Doi Numarası: 10.31362/patd.1064329
- Dergi Adı: Pamukkale Medical Journal
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.656-660
- Anahtar Kelimeler: cerebrospinal fluid leak, hydrocephalus, Pediatric posterior fossa tumors, tumors
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- İstanbul Yeni Yüzyıl Üniversitesi Adresli: Evet
Özet
Purpose: In this study, we aim to retrospectively evaluate surgical treatment of pediatric posterior fossa tumors in a tertiary university hospital. Materials and methods: The files of pediatric patients who were operated for posterior fossa tumor in our clinic between January 2011 and September 2021 were reviewed retrospectively. The demographic characteristics of the patients, their complaints, neurological examinations, operation areas, pathological diagnoses, complications, and whether other postoperative treatments were performed were evaluated. Results: Of the eighty pediatric patients with posterior fossa tumors, 43 were female and 37 were male. While 65 patients were operated for the first time, 8 patients were reoperated for residual tumors and 4 patients for recurrent tumors. Tumor was removed totally in 60 patients, subtotal (residual <3 cm2) in 20 patients. The most common tumor pathologies were medulloblastoma and pilocytic astrocytoma. Headache is the most common complaint at admission. Ependymomas had the youngest group of patients at the time of admission. Hydrocephalus developed in 7 of the cases postoperatively and a ventriculoperitoneal shunt was inserted. The need for ventriculoperitoneal shunt was observed more in medulloblastoma patients. The most common postoperative complication was deterioration in cerebellar tests. Conclusion: Surgery with safe resection remains the mainstay of treatment for pediatric posterior fossa tumors. It should be noted that the treatment of pediatric posterior fossa tumors is a team effort. Prospective studies with well-defined algorithms are needed to reduce complications and mortality.