Building a Neuro-Oncology Program andEpidemiological Profiling of PediatricBrain Tumors in a Tertiary Cancer Care Center in India

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NAIR MANJUSHA; RAGHAVAN RAJEEV KAVALAKARA; Prahladan Anil; Mathews Anita; PARUKKUTTY KUSUMAKUMARY

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Journal: MIDDLE EAST JOURNAL OF CANCER Year:2018 | Volume:9 | Issue:3 Page(s): 228-234

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Title

Building a Neuro-Oncology Program andEpidemiological Profiling of PediatricBrain Tumors in a Tertiary Cancer Care Center in India

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Keywords

Pediatric brain tumor

Neuro-Oncology

India

Abstract

Background: Treatment of childhood brain tumours requires coordinated effortsby multiple specialities-neurosurgery, neuroradiology, neuropathology, oncology, and radiotherapy. The outcome is worse in developing countries compared todeveloped countries because of deficiencies in proper registry, failure of timelydiagnosis, lack of availability and co-ordination of multiple specialists required forcomprehensive management and high abandonment rates. Method: The pediatric Neuro-Oncology program was initiated in collaboration withthe neighbouring neurosurgery institution as a step towards improving care forPediatric brain tumor patients in our hospital. Epidemiology, treatment and followupof brain tumours in children aged 1-14 years attending the pediatric oncologydepartment were studied. Patients received multimodality treatment with surgery, radiotherapy and chemotherapy by specialists in both centres. The study periodwas from January 2008 to December 2012. Results: There were 375 pediatric brain tumour patients during the study period. 166 patients (44. 2%) had supratentorial tumors and 209 (55. 73%) had infratentorialtumors. 42. 6% of tumours were high-grade and 53. 6% were low grade. Thecommonest histopathological tumour type was astrocytoma (48. 8%) followed bymedullobastoma (24. 5%). 287 (76. 5%) patients underwent surgery, 216 (57. 6%)patients received radiotherapy, 97 (25. 8%) patients received chemotherapy and 94(25%) required follow-up only. Patient follow-up rates improved from 37. 2% to 82. 6%and treatment abandonment decreased from 35. 8% to 14. 8% over these years. Conclusions: Impact of the pediatric Neuro-Oncology program in our hospital hasmade it possible to provide comprehensive multidisciplinary treatment in a co-ordinatedmanner, describe the epidemiology of Pediatric brain tumors, reduce treatmentabandonment, and improve the follow-up of pediatric brain tumour patients.

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APA: Copy

NAIR, MANJUSHA, RAGHAVAN, RAJEEV KAVALAKARA, Prahladan, Anil, Mathews, Anita, & PARUKKUTTY, KUSUMAKUMARY. (2018). Building a Neuro-Oncology Program andEpidemiological Profiling of PediatricBrain Tumors in a Tertiary Cancer Care Center in India. MIDDLE EAST JOURNAL OF CANCER, 9(3), 228-234. SID. https://sid.ir/paper/321238/en

Vancouver: Copy

NAIR MANJUSHA, RAGHAVAN RAJEEV KAVALAKARA, Prahladan Anil, Mathews Anita, PARUKKUTTY KUSUMAKUMARY. Building a Neuro-Oncology Program andEpidemiological Profiling of PediatricBrain Tumors in a Tertiary Cancer Care Center in India. MIDDLE EAST JOURNAL OF CANCER[Internet]. 2018;9(3):228-234. Available from: https://sid.ir/paper/321238/en

IEEE: Copy

MANJUSHA NAIR, RAJEEV KAVALAKARA RAGHAVAN, Anil Prahladan, Anita Mathews, and KUSUMAKUMARY PARUKKUTTY, “Building a Neuro-Oncology Program andEpidemiological Profiling of PediatricBrain Tumors in a Tertiary Cancer Care Center in India,” MIDDLE EAST JOURNAL OF CANCER, vol. 9, no. 3, pp. 228–234, 2018, [Online]. Available: https://sid.ir/paper/321238/en

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