Fig. 3.1 10-year-old boy. 6 months with headaches. 15 days with visual disturbances. Atypical meningioma (WHO II) preoperative imaging and intraoperative extracranial tumor invasion illustration Patient age, tumor location, and…
Fig. 27.1 Picture of cranial immobilization in the prone position using an aquaplast mask face cradle An SSD or SAD setup can be used. SSD setup can facilitate the use…
Site Total % Male Female Male/female Pineal 73 45 68 5 14 Neurohypophyseal 52 32 26 26 1 Pineal + neurohypophyseal 17 10 15 2 7.5 Basal ganglia, thalamus 21 13 20…
Fig. 19.1 (a) H&E stained histological sample of a WHO Grade I Choroid Plexus Papilloma. There is a single layer of epithelial cells overlying a fibrovascular core, resembling normal choroid…
Tumor Clinical manifestations Laboratory evaluation Preferred treatment modalities in children Prolactinoma Pubertal arrest, galactorrhea, menstrual abnormalities, pituitary deficiencies, visual symptoms, and headache Elevated serum PRL+/− elevated serum GH 1. Dopamine antagonists…
Fig. 15.1 Immature teratoma arising from the suprasellar area in a 13-year-old boy. (a) CT scan shows a mass in the third ventricle with low attenuation. Minute dots of high…
Fig. 20.1 Target contouring of a large skull base chordoma with extensive extracranial extension following subtotal, transnasal/transsphenoidal resection. Gross tumor volume (GTV) includes residual gross disease, equivocal areas as per…
Fig. 18.1 Fifteen-year-old girl with known diagnosis of neurofibromatosis type I was incidentally found to have lesions in distal thecal sac during surveillance imaging (sagittal T1 sequence post-gadolinium administration demonstrated…
NCI risk (age/WBC) Favorable genetics Unfavorable characteristics Day 8 PB MRD (%) Day 29 marrow MRD (%) % of B-cell patients 5-year EFS (%) Low risk SR Yes None…
Hormone Dose at which risk of dysfunction is increased Endocrine consequence Recommendations for screening and evaluation as clinically indicated GH ≥18 Gy • Growth hormone deficiency • Growth velocity • Poor linear growth…
