Modern Neuroimaging of Pediatric Brain Tumors

Sep 26, 2017 by in ONCOLOGY Comments Off on Modern Neuroimaging of Pediatric Brain Tumors

Fig. 13.1 High-grade glioma with both improved spectra and anatomic imaging after receiving radiation therapy. (a1–a3) Pretreatment 3D chemical shift imaging (CSI) transposed on T1-weighted gadolinium-enhanced axial image. Spectrum voxel…

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Embryonal Tumors

Sep 26, 2017 by in ONCOLOGY Comments Off on Embryonal Tumors

Fig. 5.1 Hematoxylin and eosin micrograph of classic medulloblastoma. There are dense sheets of small round blue cells with scant cytoplasm Fig. 5.2 Hematoxylin and eosin micrograph of Homer-Wright rosettes…

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Brainstem Gliomas

Sep 26, 2017 by in ONCOLOGY Comments Off on Brainstem Gliomas

Tumor type Approximate frequency (%) Clinical characteristics Imaging characteristics Predominant pathology Diffuse intrinsic 75–85 Multiple bilateral CN deficits LTS Ataxia Short clinical history Diffuse pontine enlargement T1 hypointensity T2 variable…

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Neurocutaneous Syndromes and Associated CNS Tumors

Sep 26, 2017 by in ONCOLOGY Comments Off on Neurocutaneous Syndromes and Associated CNS Tumors

Major features Minor features Café au lait spots and skin freckling Macrocephaly Peripheral neurofibromas Short stature as growth hormone deficiency found in NF1 patients that do not even have hypothalamic…

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Advances in Radiation Therapy

Sep 26, 2017 by in ONCOLOGY Comments Off on Advances in Radiation Therapy

Fig. 16.1 A 21-year-old female with history of grade 3 pineal parenchymal tumor of intermediate differentiation (PPTID) status post gross total resection (GTR) receiving adjuvant whole ventricular radiation therapy. Top…

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Current Surgical Management

Sep 26, 2017 by in ONCOLOGY Comments Off on Current Surgical Management

Fig. 14.1 Intraoperative ultrasound images of a 4-year-old boy with a low-grade glioma of the left frontal lobe. Preresection (a) and postresection (b) coronal plane images demonstrate the distinct echogenicity…

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Rare Tumors

Sep 26, 2017 by in ONCOLOGY Comments Off on Rare Tumors

WHO grade I Benign meningiomas: with low risk of recurrence and/or low risk of aggressive growth WHO grade II Atypical meningiomas: with increased mitotic activity or three or more of…

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Intramedullary Spinal Cord Tumors

Sep 26, 2017 by in ONCOLOGY Comments Off on Intramedullary Spinal Cord Tumors

Pain Motor regression Weakness Gait abnormality/deterioration Torticollis Progressive kyphoscoliosis Hydrocephalus Sphincter disturbance Reflex changes Sensory impairment 10.2.3.1 Diagnostic Imaging MRI is the diagnostic tool of choice for all spinal tumors…

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Late Effects of Treatment and Palliative Care

Sep 26, 2017 by in ONCOLOGY Comments Off on Late Effects of Treatment and Palliative Care

Fig. 17.1 CNS tumor all-cause and sex-specific mortality rate compared with age-adjusted US population (Armstrong et al. 2009a) (Reprinted with permission ©2009 Oxford University Press, all rights reserved) 17.2.2 Secondary…

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Ependymoma

Sep 26, 2017 by in ONCOLOGY Comments Off on Ependymoma

Fig. 4.1 Myxopapillary ependymoma, WHO grade I, demonstrates centrally placed hyalinized blood vessels, surrounded by mucinous microcystic degeneration and collars of small epithelioid ependymal cells (courtesy of Dr. A. Perry)…

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