Sánchez-Herrera Federico, Castro-Sierra Eduardo, Gordillo-Domínguez Luis Felipe, Vaca-Ruiz Miguel Angel, Santana-Montero Blanca, Perezpeña-Diazconti Mario, González-Carranza Vicente, Torres-García Samuel, Chico-Ponce de León Fernando
Department of Neurosurgery, Hospital Infantil de México Federico Gómez, 06720 Mexico, D.F., Mexico.
Childs Nerv Syst. 2009 May;25(5):551-7. doi: 10.1007/s00381-008-0780-8. Epub 2009 Jan 16.
To evaluate clinical evolution of pediatric patients diagnosed with glioblastoma multiforme (GBM) at Hospital Infantil de México Federico Gómez.
Cases of patients treated from January to May, 2007, were included in this study. Variables analyzed were: age, diagnosis, size of tumor, histopathological description, degree of resection, time of stay in hospital, complications and outcome using Pearson's chi-squared test and logistic regression.
Sixteen patients were identified. Mean age of presentation was 8.8. An increased frequency of complications was observed in younger patients and longer survival rates in patients with greater resections; main mode of presentation was directly related to intracranial hypertension; size of tumor was not related to evolution or outcome. Modern histological classifications especially designed for children are deemed necessary to accurately diagnose GBM.
评估在墨西哥费德里科·戈麦斯儿童医院被诊断为多形性胶质母细胞瘤(GBM)的儿科患者的临床病情发展。
本研究纳入了2007年1月至5月接受治疗的患者病例。分析的变量包括:年龄、诊断、肿瘤大小、组织病理学描述、切除程度、住院时间、并发症及预后,采用Pearson卡方检验和逻辑回归分析。
共确定了16例患者。就诊时的平均年龄为8.8岁。观察到较年轻患者并发症发生率增加,切除范围较大的患者生存率较高;主要表现方式与颅内高压直接相关;肿瘤大小与病情发展或预后无关。认为有必要采用专门为儿童设计的现代组织学分类来准确诊断GBM。