Piccirilli Manolo, Lenzi Jacopo, Delfinis Catia, Trasimeni Guido, Salvati Maurizio, Raco Antonino
Department of Neurosurgical Sciences, Neurosurgery, University of Rome, La Sapienza, Rome, Italy.
Childs Nerv Syst. 2006 Oct;22(10):1332-7. doi: 10.1007/s00381-006-0061-3. Epub 2006 Apr 26.
The authors report their experience about three children (two girls, one boy; average age 1.6 years) with a spontaneous regression of optic gliomas. All of them had a previous diagnosis of neurofibromatosis type 1 (NF 1). None of them underwent surgery or biopsy nor received chemotherapy or radiotherapy. The complete regression was documented by MRI scans performed during a mean follow-up of 6.3 years.
Moreover, the authors analyze the features of the 16 cases previously reported in English literature of spontaneously regressed optic gliomas with an overview of the different therapeutic strategies. The knowledge that this kind of tumor, particularly in young patients, may regress is important in the decision of the best therapeutic approach.
作者报告了他们对三名患有视神经胶质瘤自发消退的儿童(两名女孩,一名男孩;平均年龄1.6岁)的经验。他们之前均被诊断为1型神经纤维瘤病(NF 1)。他们均未接受手术或活检,也未接受化疗或放疗。在平均6.3年的随访期间通过MRI扫描记录了完全消退情况。
此外,作者分析了英文文献中先前报道的16例自发消退的视神经胶质瘤病例的特征,并概述了不同的治疗策略。了解这种肿瘤,尤其是在年轻患者中可能会消退,对于决定最佳治疗方法很重要。