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- Jan 18, 2013
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Dear Colleagues ,
I need your opinion concerning this young patient.
it is a 10 years old female.
she was diagnosed in 2014, at 6 yo of age, of a grade I JPA of the posterior fossa. clinically she developed headaches, left ear hearing loss and gait disturbance.
MRI showed a large PF tumor extending to the 4th ventricle through the left CPA causing a mass effect
posterior craniotomy was done.
pathology: 3*2.5cm grade I JPA, Ki67<2%
she was observed closely till august 2018
when she presented with increased headache.
MRI septembre 2018: small recurrence at the level of the left peduncle1.6*1.5*1.5 cm
posterior craniotomy: near complete resection, JPA grade I
MRI december 2018: enhancing intra-axial left brachium pontis mass of 1.5*1.6 cm that increased in size compared to sept post-op imaging. she has a definitive loss of hearing in the left ear. no other sequela.
what do you suggest as adjuvant treatment :
- adjusted chemotherapy (taking into consideration the risk of hearing toxicity
- adjuvant radiation to the tumor bed 50-54 Gy
ty a lot
I need your opinion concerning this young patient.
it is a 10 years old female.
she was diagnosed in 2014, at 6 yo of age, of a grade I JPA of the posterior fossa. clinically she developed headaches, left ear hearing loss and gait disturbance.
MRI showed a large PF tumor extending to the 4th ventricle through the left CPA causing a mass effect
posterior craniotomy was done.
pathology: 3*2.5cm grade I JPA, Ki67<2%
she was observed closely till august 2018
when she presented with increased headache.
MRI septembre 2018: small recurrence at the level of the left peduncle1.6*1.5*1.5 cm
posterior craniotomy: near complete resection, JPA grade I
MRI december 2018: enhancing intra-axial left brachium pontis mass of 1.5*1.6 cm that increased in size compared to sept post-op imaging. she has a definitive loss of hearing in the left ear. no other sequela.
what do you suggest as adjuvant treatment :
- adjusted chemotherapy (taking into consideration the risk of hearing toxicity
- adjuvant radiation to the tumor bed 50-54 Gy
ty a lot