Cargando…
LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE
Pediatric Low-grade gliomas (PLGGs) are extremely heterogeneous tumors and account for approximately 35% of childhood brain tumors. This retrospective study on 55 newly diagnosed children (<14 ys) with pathologically confirmed LGG from 2006 to 2016 aimed to review demographic data, clinical and t...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7715258/ http://dx.doi.org/10.1093/neuonc/noaa222.397 |
_version_ | 1783618913106395136 |
---|---|
author | Alammar, Fahad Alharpi, Musa Ahmad, Maqsood Al-Banyan, Ayman Alotaibi, Fahad E Shakweer, Wafa Al Abedalthagafi, Malak Mobark, Nahla Ali |
author_facet | Alammar, Fahad Alharpi, Musa Ahmad, Maqsood Al-Banyan, Ayman Alotaibi, Fahad E Shakweer, Wafa Al Abedalthagafi, Malak Mobark, Nahla Ali |
author_sort | Alammar, Fahad |
collection | PubMed |
description | Pediatric Low-grade gliomas (PLGGs) are extremely heterogeneous tumors and account for approximately 35% of childhood brain tumors. This retrospective study on 55 newly diagnosed children (<14 ys) with pathologically confirmed LGG from 2006 to 2016 aimed to review demographic data, clinical and therapeutic aspects and treatment outcome of PLGGs in children in Saudi Arabia. RESULTS: 33 (60.0%) males,22 (40.0%) females, median age at diagnosis 68 months. Pilocytic astrocytoma was the most common pathological diagnosis 42 (76.4%) location of tumor was Infratentorial in 30 patients (54.0%) and Supratentorial in 24 patients (43.2%), 19 patients (34.6%) had total surgical excision, 10 (18.2%) subtotal resection, 20 (36.4%) partial excision and 6 (10.9%) had biopsy only; After initial Surgery 30 patients (54.5%) required adjuvant chemotherapy of whom 14 patients (46.7%) experienced a treatment failure event, 25 patients (45.5%) who were initially observed post surgery 6 patients (24%) of them had relapse /progression and required further therapy. Only 2 patients (3.6%) received radiotherapy due to uncontrolled progression first line chemotherapy carboplatin and vincristine (CV) regimen was tolerated, Carboplatin allergic reactions developed in 21.1% of patients. Median follow-up of 6.49 years, the median time of relapse/ progression was 2.85 years The 5-year overall survival (OS) rates and progression free survival for all patients were 92.2 %, and 63.3% respectively. This study was to document the outcome of pediatric LGG in Saudi Arabia and to serve as a guideline for the future management with incorporation of molecular studies on pediatric LGGs which may help improve the outcome for Saudi children with LGG. |
format | Online Article Text |
id | pubmed-7715258 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77152582020-12-09 LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE Alammar, Fahad Alharpi, Musa Ahmad, Maqsood Al-Banyan, Ayman Alotaibi, Fahad E Shakweer, Wafa Al Abedalthagafi, Malak Mobark, Nahla Ali Neuro Oncol Low Grade Glioma Pediatric Low-grade gliomas (PLGGs) are extremely heterogeneous tumors and account for approximately 35% of childhood brain tumors. This retrospective study on 55 newly diagnosed children (<14 ys) with pathologically confirmed LGG from 2006 to 2016 aimed to review demographic data, clinical and therapeutic aspects and treatment outcome of PLGGs in children in Saudi Arabia. RESULTS: 33 (60.0%) males,22 (40.0%) females, median age at diagnosis 68 months. Pilocytic astrocytoma was the most common pathological diagnosis 42 (76.4%) location of tumor was Infratentorial in 30 patients (54.0%) and Supratentorial in 24 patients (43.2%), 19 patients (34.6%) had total surgical excision, 10 (18.2%) subtotal resection, 20 (36.4%) partial excision and 6 (10.9%) had biopsy only; After initial Surgery 30 patients (54.5%) required adjuvant chemotherapy of whom 14 patients (46.7%) experienced a treatment failure event, 25 patients (45.5%) who were initially observed post surgery 6 patients (24%) of them had relapse /progression and required further therapy. Only 2 patients (3.6%) received radiotherapy due to uncontrolled progression first line chemotherapy carboplatin and vincristine (CV) regimen was tolerated, Carboplatin allergic reactions developed in 21.1% of patients. Median follow-up of 6.49 years, the median time of relapse/ progression was 2.85 years The 5-year overall survival (OS) rates and progression free survival for all patients were 92.2 %, and 63.3% respectively. This study was to document the outcome of pediatric LGG in Saudi Arabia and to serve as a guideline for the future management with incorporation of molecular studies on pediatric LGGs which may help improve the outcome for Saudi children with LGG. Oxford University Press 2020-12-04 /pmc/articles/PMC7715258/ http://dx.doi.org/10.1093/neuonc/noaa222.397 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Low Grade Glioma Alammar, Fahad Alharpi, Musa Ahmad, Maqsood Al-Banyan, Ayman Alotaibi, Fahad E Shakweer, Wafa Al Abedalthagafi, Malak Mobark, Nahla Ali LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title | LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title_full | LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title_fullStr | LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title_full_unstemmed | LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title_short | LGG-15. PEDIATRIC LOW-GRADE GLIOMAS IN SAUDI ARABIA: RETROSPECTIVE ANALYSIS OF CHILDREN WITH LOW-GRADE GLIOMAS TREATED IN KING FAHAD MEDICAL CITY KFMC- SINGLE INSTITUTIONAL EXPERIENCE |
title_sort | lgg-15. pediatric low-grade gliomas in saudi arabia: retrospective analysis of children with low-grade gliomas treated in king fahad medical city kfmc- single institutional experience |
topic | Low Grade Glioma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7715258/ http://dx.doi.org/10.1093/neuonc/noaa222.397 |
work_keys_str_mv | AT alammarfahad lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT alharpimusa lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT ahmadmaqsood lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT albanyanayman lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT alotaibifahade lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT shakweerwafaal lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT abedalthagafimalak lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience AT mobarknahlaali lgg15pediatriclowgradegliomasinsaudiarabiaretrospectiveanalysisofchildrenwithlowgradegliomastreatedinkingfahadmedicalcitykfmcsingleinstitutionalexperience |