التفاصيل البيبلوغرافية
| العنوان: |
NS04 PAEDIATRIC POSTERIOR FOSSA TUMOURS IN THE CANTERBURY REGION – A 25 YEAR RETROSPECTIVE REVIEW. |
| المؤلفون: |
Lightfoot, N. J.1, MacFarlane, M. R.1, Corbett, R. P.1, Sullivan, M. J.1 |
| المصدر: |
ANZ Journal of Surgery. May2007 Supplement, Vol. 77, p52-52. 1p. |
| مصطلحات موضوعية: |
*TUMORS, *POSTERIOR cranial fossa, *NEUROLOGICAL nursing, *ASTROCYTOMAS, *PEDIATRICS, ABSTRACTS |
| مستخلص: |
Purpose A Neurosurgical Unit was established at Christchurch Hospital in 1981 and since this time our centre has been involved in the surgical treatment of paediatric posterior fossa tumours. The purpose of this presentation is to highlight our experience with this group and to compare this with data reported elsewhere in the literature. Methodology The Neurosurgical department maintains an extensive database of admissions and operative experience. A search was performed to identify patients with posterior fossa tumours who were less than 18 years of age at presentation. The selected patients’ clinical notes were reviewed and demographic, clinical and outcome data collected and analysed. Results Over this 25 year period we treated 46 children in whom the radiological diagnosis of a posterior fossa tumour had been made. This represents 1.43/ 100000 children/year. Medulloblastoma accounted for 32.6%, astrocytoma 42.5% and ependymoma 15.2%. All patients underwent neurosurgery with 61% of patients undergoing either sub-total or macroscopic resection with a 30 day mortality of 2.1%. Postoperative management with radiotherapy and/or chemotherapy was subsequently undertaken according to international guidelines, and from 2004 including those of the Childrens’ Oncology Group. The 5 year survival was 73.3% for medulloblastoma; 84.2% for astrocytoma; 85.7% for ependymoma. Conclusion Over the last 25 years the management of posterior fossa tumours in Christchurch has evolved has evolved in line with international trends. Our outcome data is comparable to that reported elsewhere with low operative mortality and morbidity and with exceptional clinical outcomes. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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