Abstract
Two cases of recurrent pilocytic astrocytoma with leptomeningeal dissemination (LMD) are described. A 6-year-old boy presented with a cerebellar tumor, which was subtotally removed. Tumor recurrence with LMD occurred 4 years later. Reoperation for tumor removal followed by craniospinal irradiation stabilized the LMD over 5 years. A 4-year-old girl presented with a chiasmatic-hypothalamic tumor. Partial removal of the tumor was followed by radiation therapy. Tumor regrowth with LMD occurred 4 years later and was managed by reoperation, chemotherapy and radiotherapy. Tumor recurrence with LMD can be stabilized by multimodal treatment without tumor progression.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 20 June 1997 Revised: 10 November 1997
Rights and permissions
About this article
Cite this article
Tamura, M., Zama, A., Kurihara, H. et al. Management of recurrent pilocytic astrocytoma with leptomeningeal dissemination in childhood. Child's Nerv Syst 14, 617–622 (1998). https://doi.org/10.1007/s003810050286
Issue Date:
DOI: https://doi.org/10.1007/s003810050286