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Neurosurgery

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Pediatric Neuro-oncology

Abstract

Involvement of pediatric neurosurgeons is essential in elaborating a treatment plan for the management of CNS pediatric tumors. The following chapter will describe various pathologies for which neurosurgical expertise might be required, whether or not a surgical intervention is prompted. The role of the pediatric neurosurgeon as part of the neuro-oncology team will be detailed. General guidelines on the treatment of specific nonsurgical tumors as well as the role of various biopsy methods (including minimally invasive endoscopic devices) in obtaining histopathological diagnosis will be reviewed. In addition, early recognition and treatment of surgical complications is an additional component of neurosurgical care following pediatric CNS tumor surgery and will also be described. Special consideration will also be given to tumoral cysts for which, in selected cases, intratumoral chemotherapy or irradiation is preferred to tumor resection. Finally, management of tumor recurrence and nonsurgical management of potentially surgical lesions will be reviewed.

In conclusion, management options of children with CNS tumors are numerous and the best treatment should be decided within a multidisciplinary oncology team. Surgical intervention should thus be considered and discussed as early as the diagnosis is made, as it might allow for long-term tumor control and improvement of quality of life. Nevertheless, each case is unique and the chosen treatment option should be individualized for each patient.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Centre Hospitalier Universitaire de Sainte-Justine, Montréal, QC, Canada

    Sami Obaid M.D.C.M., Claude Mercier M.D., F.R.C.S.C. & Louis Crevier M.D., M.S.C., F.R.C.S.

  2. Department of Neurosurgery, Hôpital Notre-Dame/Université de Montréal, Montréal, QC, Canada

    Pierre-Olivier Champagne M.D., M.Sc., F.R.C.S.C.

Authors
  1. Sami Obaid M.D.C.M.
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  2. Pierre-Olivier Champagne M.D., M.Sc., F.R.C.S.C.
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  3. Claude Mercier M.D., F.R.C.S.C.
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  4. Louis Crevier M.D., M.S.C., F.R.C.S.
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Corresponding author

Correspondence to Louis Crevier M.D., M.S.C., F.R.C.S. .

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Editors and Affiliations

  1. Division of Hematology/Oncology, Department of Pediatrics, Associate Professor of Pediatrics, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada

    Katrin Scheinemann

  2. Department of Haematology/Oncology, Garron Family Chair in Childhood Cancer Research, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

    Eric Bouffet

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Obaid, S., Champagne, PO., Mercier, C., Crevier, L. (2015). Neurosurgery. In: Scheinemann, K., Bouffet, E. (eds) Pediatric Neuro-oncology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1541-5_5

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  • DOI: https://doi.org/10.1007/978-1-4939-1541-5_5

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1540-8

  • Online ISBN: 978-1-4939-1541-5

  • eBook Packages: MedicineMedicine (R0)

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