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Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study
Posterior fossa tumours (PFTs) in infants are very rare, and information on these tumours is scarce in the literature. This retrospective study reports their pathological characteristics and describes surgical aspects and treatment outcomes. A two-centre cohort of infants with PFTs treated from 2007...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947426/ https://www.ncbi.nlm.nih.gov/pubmed/35328188 http://dx.doi.org/10.3390/diagnostics12030635 |
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author | Picariello, Stefania Spennato, Pietro Roth, Jonathan Shimony, Nir Marini, Alessandra De Martino, Lucia Nicosia, Giancarlo Mirone, Giuseppe De Santi, Maria Serena Savoia, Fabio Errico, Maria Elena Quaglietta, Lucia Costantini, Shlomi Cinalli, Giuseppe |
author_facet | Picariello, Stefania Spennato, Pietro Roth, Jonathan Shimony, Nir Marini, Alessandra De Martino, Lucia Nicosia, Giancarlo Mirone, Giuseppe De Santi, Maria Serena Savoia, Fabio Errico, Maria Elena Quaglietta, Lucia Costantini, Shlomi Cinalli, Giuseppe |
author_sort | Picariello, Stefania |
collection | PubMed |
description | Posterior fossa tumours (PFTs) in infants are very rare, and information on these tumours is scarce in the literature. This retrospective study reports their pathological characteristics and describes surgical aspects and treatment outcomes. A two-centre cohort of infants with PFTs treated from 2007 to 2018 was retrospectively reviewed. Patient characteristics, clinical, and treatment data were reviewed. Survival curves for progression-free survival (PFS) and overall survival (OS) were generated. Thirty-three infants were retrieved. There were 11 low grade and 22 high-grade tumours. The most common presenting symptom was intracranial hypertension. Fifteen children out of thirty-three progressed. Five-year PFS was significantly lower in children with high-grade tumours (38.3%) than those with low-grade tumours (69.3%), p = 0.030. High-grade pathology was the only predictor of progression (HR 3.7, 95% CI 1.1–13.31), p = 0.045. Fourteen children with high-grade tumours died, with a 5-year OS of 55.25%. PFTs in children below one year of age still represent a unique challenge. Infants with high-grade tumours display the worst outcomes and the lowest survival, indicating that more effective strategies are needed. |
format | Online Article Text |
id | pubmed-8947426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89474262022-03-25 Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study Picariello, Stefania Spennato, Pietro Roth, Jonathan Shimony, Nir Marini, Alessandra De Martino, Lucia Nicosia, Giancarlo Mirone, Giuseppe De Santi, Maria Serena Savoia, Fabio Errico, Maria Elena Quaglietta, Lucia Costantini, Shlomi Cinalli, Giuseppe Diagnostics (Basel) Article Posterior fossa tumours (PFTs) in infants are very rare, and information on these tumours is scarce in the literature. This retrospective study reports their pathological characteristics and describes surgical aspects and treatment outcomes. A two-centre cohort of infants with PFTs treated from 2007 to 2018 was retrospectively reviewed. Patient characteristics, clinical, and treatment data were reviewed. Survival curves for progression-free survival (PFS) and overall survival (OS) were generated. Thirty-three infants were retrieved. There were 11 low grade and 22 high-grade tumours. The most common presenting symptom was intracranial hypertension. Fifteen children out of thirty-three progressed. Five-year PFS was significantly lower in children with high-grade tumours (38.3%) than those with low-grade tumours (69.3%), p = 0.030. High-grade pathology was the only predictor of progression (HR 3.7, 95% CI 1.1–13.31), p = 0.045. Fourteen children with high-grade tumours died, with a 5-year OS of 55.25%. PFTs in children below one year of age still represent a unique challenge. Infants with high-grade tumours display the worst outcomes and the lowest survival, indicating that more effective strategies are needed. MDPI 2022-03-04 /pmc/articles/PMC8947426/ /pubmed/35328188 http://dx.doi.org/10.3390/diagnostics12030635 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Picariello, Stefania Spennato, Pietro Roth, Jonathan Shimony, Nir Marini, Alessandra De Martino, Lucia Nicosia, Giancarlo Mirone, Giuseppe De Santi, Maria Serena Savoia, Fabio Errico, Maria Elena Quaglietta, Lucia Costantini, Shlomi Cinalli, Giuseppe Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title | Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title_full | Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title_fullStr | Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title_full_unstemmed | Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title_short | Posterior Fossa Tumours in the First Year of Life: A Two-Centre Retrospective Study |
title_sort | posterior fossa tumours in the first year of life: a two-centre retrospective study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947426/ https://www.ncbi.nlm.nih.gov/pubmed/35328188 http://dx.doi.org/10.3390/diagnostics12030635 |
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