Suprasellar tumors in children: a review of clinical manifestations and managements.

Abstract:

:The records of 98 children with suprasellar tumors treated between 1950 and 1975, at Columbia-Presbyterian Medical Center, were reviewed. Most of the children with germ cell tumors or posterior chiasmal gliomas irradiated with 5000 rad in six weeks using extended field, children with craniopharyngiomas treated with total resection when the tumor was limited to the suprasellar area, and children with craniopharyngiomas treated with combined surgery and postoperative irradiation when the lesions could not be resected totally, have generally survived long with reasonably good quality of life. More passive dependent immature responses were noted in most children with anterior chiasmal gliomas due to persistent residual mass after irradiation, although they have survived long. An attention to details of the clinical picture, the age at presentation, the finding of diabetes insipidus, and the presence of calcification and intrasellar extension of the tumor, should help with the selection of the appropriate treatment technique and, thus, influence the probability of tumor control as well as of complications.

journal_name

Cancer

journal_title

Cancer

authors

Sung DI

doi

10.1002/1097-0142(19821001)50:7<1420::aid-cncr2820

subject

Has Abstract

pub_date

1982-10-01 00:00:00

pages

1420-5

issue

7

eissn

0008-543X

issn

1097-0142

journal_volume

50

pub_type

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