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De novo formation of brain tumors in pediatric population following therapeutic cranial irradiation

Bilginer, Burcak ; Türk, Cezmi Cagrı ; Narin, Fırat ; Hazer, Burcu LU orcid ; Hanalioglu, Sahin ; Oguz, Kader Karlı ; Soylemezoglu, Figen and Akalan, Nejat (2015) In Child's Nervous System 31(6). p.893-899
Abstract

Purpose: Tumors of central nervous system (CNS) are accounted as the second most common tumors in childhood (21 % of all cancers) following hematologic malignancies. The patients can suffer more than one cancer in their lifetime, and radiotherapy is claimed for de novo formation of a new tumor in years after treatment of an initial tumor. Methods: We have retrospectively analyzed our database for defining radiotherapy-related de novo brain tumors operated in between January, 2000 and August, 2012. New tumors in the field of radiotherapy were included into the study. Results: The retrospective analysis revealed six patients (two girls and four boys) eligible for further evaluation. The children were irradiated at an age in the range of 5... (More)

Purpose: Tumors of central nervous system (CNS) are accounted as the second most common tumors in childhood (21 % of all cancers) following hematologic malignancies. The patients can suffer more than one cancer in their lifetime, and radiotherapy is claimed for de novo formation of a new tumor in years after treatment of an initial tumor. Methods: We have retrospectively analyzed our database for defining radiotherapy-related de novo brain tumors operated in between January, 2000 and August, 2012. New tumors in the field of radiotherapy were included into the study. Results: The retrospective analysis revealed six patients (two girls and four boys) eligible for further evaluation. The children were irradiated at an age in the range of 5 and 12 years (mean, 7.8). The primary diagnoses were hematological malignancies in two (acute lymphocytic leukemia and non-Hodgkin lymphoma (NHL)) and solid tumors in other four (two pilocytic astrocytoma, one craniopharyngioma, and one grade 3 astrocytoma). All patients received cranial radiotherapy. The mean latency period for the “second tumor” was 9.5 years. The pathological diagnoses for de novo new tumors were as follows: glial tumor (two cases), medulloblastoma (two cases), mesenchymal tumor (one case), and meningeal sarcoma (one case). All de novo tumors were high graded. Mean survival was 14.6 months. Conclusions: de novo brain tumors after irradiation has poor prognosis in neurosurgical practice. Vigilance and awareness for possibility of de novo new tumor are warranted for both families and physicians at follow-ups even years after the treatment of initial tumors.

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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Central nervous system, Childhood, De novo, Radiation, Second, Tumor
in
Child's Nervous System
volume
31
issue
6
pages
893 - 899
publisher
Springer
external identifiers
  • scopus:84929955592
  • pmid:25831997
ISSN
0256-7040
DOI
10.1007/s00381-015-2689-3
language
English
LU publication?
no
additional info
Publisher Copyright: © 2015, Springer-Verlag Berlin Heidelberg.
id
bd08d7a2-7d51-41ff-903e-4f5eaa21a238
date added to LUP
2025-05-11 22:36:58
date last changed
2025-05-13 03:16:29
@article{bd08d7a2-7d51-41ff-903e-4f5eaa21a238,
  abstract     = {{<p>Purpose: Tumors of central nervous system (CNS) are accounted as the second most common tumors in childhood (21 % of all cancers) following hematologic malignancies. The patients can suffer more than one cancer in their lifetime, and radiotherapy is claimed for de novo formation of a new tumor in years after treatment of an initial tumor. Methods: We have retrospectively analyzed our database for defining radiotherapy-related de novo brain tumors operated in between January, 2000 and August, 2012. New tumors in the field of radiotherapy were included into the study. Results: The retrospective analysis revealed six patients (two girls and four boys) eligible for further evaluation. The children were irradiated at an age in the range of 5 and 12 years (mean, 7.8). The primary diagnoses were hematological malignancies in two (acute lymphocytic leukemia and non-Hodgkin lymphoma (NHL)) and solid tumors in other four (two pilocytic astrocytoma, one craniopharyngioma, and one grade 3 astrocytoma). All patients received cranial radiotherapy. The mean latency period for the “second tumor” was 9.5 years. The pathological diagnoses for de novo new tumors were as follows: glial tumor (two cases), medulloblastoma (two cases), mesenchymal tumor (one case), and meningeal sarcoma (one case). All de novo tumors were high graded. Mean survival was 14.6 months. Conclusions: de novo brain tumors after irradiation has poor prognosis in neurosurgical practice. Vigilance and awareness for possibility of de novo new tumor are warranted for both families and physicians at follow-ups even years after the treatment of initial tumors.</p>}},
  author       = {{Bilginer, Burcak and Türk, Cezmi Cagrı and Narin, Fırat and Hazer, Burcu and Hanalioglu, Sahin and Oguz, Kader Karlı and Soylemezoglu, Figen and Akalan, Nejat}},
  issn         = {{0256-7040}},
  keywords     = {{Central nervous system; Childhood; De novo; Radiation; Second; Tumor}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{6}},
  pages        = {{893--899}},
  publisher    = {{Springer}},
  series       = {{Child's Nervous System}},
  title        = {{De novo formation of brain tumors in pediatric population following therapeutic cranial irradiation}},
  url          = {{http://dx.doi.org/10.1007/s00381-015-2689-3}},
  doi          = {{10.1007/s00381-015-2689-3}},
  volume       = {{31}},
  year         = {{2015}},
}