Pediatric Hematology Oncology and BMT Unit, Sir Ganga Ram Hospital, Delhi, India.
Indian J Pediatr. 2011 Dec;78(12):1510-9. doi: 10.1007/s12098-011-0421-1. Epub 2011 Jun 22.
Brain tumors are the second most common childhood tumors and remain the leading cause of cancer related deaths in children. Appropriate diagnosis and management of these tumors are essential to improve survival. There are no clinical practical guidelines available for the management of brain tumors in India. This document is a consensus report prepared after a National Consultation on Pediatric Brain Tumors held in Delhi on 06 Nov 2008. The meeting was attended by eminent experts from all over the country, in the fields of Neurosurgery, Radiation Oncology, Pediatric Oncology, Neuropathology, Diagnostic Imaging, Pediatric Endocrinology and Allied Health Professionals. This article highlights that physicians looking after children with brain tumors should work as part of a multidisciplinary team to improve the survival, quality of life, neuro-cognitive outcomes and standards of care for children with brain tumors. Recommendations for when to suspect, diagnostic workup, initial management, long-term follow up and specific management of individual tumors are outlined.
脑肿瘤是儿童中第二常见的肿瘤,仍是导致儿童癌症死亡的主要原因。适当的诊断和治疗这些肿瘤对于提高生存率至关重要。印度没有针对脑肿瘤管理的临床实用指南。本文件是 2008 年 11 月 6 日在德里举行的小儿脑肿瘤国家磋商会议后编写的一份共识报告。会议邀请了来自全国各地神经外科、放射肿瘤学、儿科肿瘤学、神经病理学、诊断影像学、儿科内分泌学和相关医疗保健专业的知名专家参加。本文强调,治疗脑肿瘤患儿的医生应作为多学科团队的一部分工作,以提高脑肿瘤患儿的生存率、生活质量、神经认知结果和护理标准。本文还概述了何时怀疑、诊断评估、初始管理、长期随访以及个别肿瘤的具体管理。