Radiological pseudoprogression post-radiotherapy in a child with pineal germ cell tumour.


Journal

Pediatric blood & cancer
ISSN: 1545-5017
Titre abrégé: Pediatr Blood Cancer
Pays: United States
ID NLM: 101186624

Informations de publication

Date de publication:
07 2020
Historique:
received: 18 01 2020
revised: 02 04 2020
accepted: 26 04 2020
pubmed: 20 5 2020
medline: 25 8 2020
entrez: 20 5 2020
Statut: ppublish

Résumé

Little is known about pseudoprogression in brain tumours other than gliomas. A 9-year-old male child with a pineal teratoma/germinoma underwent surgical resection followed by adjuvant chemo-radiotherapy. The magnetic resonance imaging scan 4 months post-radiotherapy showed a contrast-enhancing lesion within the surgical cavity suspicious of recurrence. These radiological findings subsequently resolved without any specific intervention. The child continues in remission 2 years post-treatment. This case illustrates the occurrence of pseudoprogression post-radiotherapy in intracranial GCT and highlights an unmet need for greater implementation of functional imaging techniques in paediatric neuro-oncology to avoid undue discontinuation of effective treatments or inappropriate enrolment in clinical trials.

Identifiants

pubmed: 32426927
doi: 10.1002/pbc.28407
doi:

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e28407

Informations de copyright

© 2020 The Authors. Pediatric Blood & Cancer published by Wiley Periodicals, Inc.

Références

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Auteurs

Inês Alves (I)

Children & Young People's Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Department of Paediatric Oncology, University Hospital Centre of São João, Porto, Portugal.

Istvan Bodi (I)

Department of Neuropathology, King's College Hospital NHS Foundation Trust, London, UK.

Jozef Jarosz (J)

Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, UK.

Henry Mandeville (H)

Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
Division of Clinical Studies, The Institute of Cancer Research, London, UK.

Bassel Zebian (B)

Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.

Fernando Carceller (F)

Children & Young People's Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Division of Clinical Studies, The Institute of Cancer Research, London, UK.

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