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Giordano F, Moscheo C, Lenge M, Mari F, Grandoni M, Buccoliero A, Sardi I, Genitori L, Guidi M. P14.46 SUBEPENDYMAL GIANT CELLS ASTROCYTOMA (SEGA) IN TUBEROUS SCLEROSIS COMPLEX (TSC): A SERIES OF 31 PATIENTS. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Subependymal Giant Cells Astrocytomas (SEGAs) are characteristic of Tuberous Sclerosis Complex (TSC). They are usually benign tumors but may rapidly grow and cause hydrocephalus and raised intracranial pressure. Surgery is mandatory for large and symptomatic SEGAs
METHODS
31 patients harboring SEGAs in TSC were admitted for surgery. The main indications for surgery were tumor size and location, tumoral growth and cystization/hemorrhage, and hydrocephalus. In presence of symptomatic hydrocephalus firts surgery aimed to reduce intracranial pressure
RESULTS
Forty-four surgeries were performed in 31 patients achieving Gross Total and Subtotal Removal in 36 and 8 patients respectively. Recurrences occurred in 11 patients; nine of them were reoperated while two were administered therapy with m-TOR pathway inhibitors. Surgical morbidity and mortality accounted for 22.7% and 2.3% respectively; hydrocephalus was the main complication. After an average follow-up of 5 years, 90% of patients had no evidence of the disease and most (93,3%) had a good clinical status after surgery; 12 out of 30 patients (40%) had a VP-shunt for hydrocephalus
Conclusions
GTR is feasible and represents the treatment of choice of SEGAs in TSC. Therapy with m-TOR pathway inhibitors is to be considered in selected patients and especially in recurrences of SEGAs
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Affiliation(s)
- F Giordano
- Meyer Pediatric Hospital, Firenze, Italy
| | - C Moscheo
- Meyer Pediatric Hospital, Firenze, Italy
| | - M Lenge
- Meyer Pediatric Hospital, Firenze, Italy
| | - F Mari
- Meyer Pediatric Hospital, Firenze, Italy
| | - M Grandoni
- Meyer Pediatric Hospital, Firenze, Italy
| | | | - I Sardi
- Meyer Pediatric Hospital, Firenze, Italy
| | - L Genitori
- Meyer Pediatric Hospital, Firenze, Italy
| | - M Guidi
- Meyer Pediatric Hospital, Firenze, Italy
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Guidi M, Lucchesi M, Buccoliero A, Scoccianti S, Farina S, Fonte C, Caporalini C, Moscheo C, Genitori L, Sardi I. P01.044 Impact of the addition of vinorelbine to temozolomide in the first-line treatment of pediatric high grade gliomas. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M Guidi
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - M Lucchesi
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - A Buccoliero
- Pathology Unit - Meyer Children’s Hospital, Florence, Italy
| | - S Scoccianti
- Radiotherapy Unit - Careggi Hospital, Florence, Italy
| | - S Farina
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Fonte
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Caporalini
- Pathology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Moscheo
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - L Genitori
- Neurosurgery Unit - Meyer Children’s Hospital, Florence, Italy
| | - I Sardi
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
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Guidi M, Giunti L, Buccoliero A, Farina S, Fonte C, Caporalini C, Moscheo C, Censullo M, Genitori L, Sardi I. P05.46 Metachronous malignancies and brain tumor in children with germline TP53 mutation. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M Guidi
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - L Giunti
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - A Buccoliero
- Pathology Unit - Meyer Children’s Hospital, Florence, Italy
| | - S Farina
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Fonte
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Caporalini
- Pathology Unit - Meyer Children’s Hospital, Florence, Italy
| | - C Moscheo
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - M Censullo
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
| | - L Genitori
- Neurosurgery Unit - Meyer Children’s Hospital, Florence, Italy
| | - I Sardi
- Neuro-Oncology Unit - Meyer Children’s Hospital, Florence, Italy
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Paderi B, Moscheo C. P19.03 Palliative care and quality of life in Neuro-Oncology: the experience at the Meyer Children’s Hospital. Neuro Oncol 2017. [DOI: 10.1093/neuonc/nox036.483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Marino S, Di Cataldo A, Magro G, D'Amico S, La Spina M, Di Benedetto V, Meli M, Moscheo C, Russo G. Immune Thrombocytopenia at Diagnosis of Hodgkin Lymphoma. Klin Padiatr 2014. [DOI: 10.1055/s-0034-1371102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Pizzo A, Fattori A, Dugo C, Mastroeni MT, Moscheo C, Dugo N. [Rokitansky-Kunster-Hauser-Mayer syndrome: a description of four cases]. Minerva Ginecol 2007; 59:95. [PMID: 17353879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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