Pediatric pineal and tectal region tumors: the use of neuroendoscopy

Year 2024, Volume: 17 Issue: 2, 325 - 335, 01.04.2024

Pelin Kuzucu , Alp Özgün Börcek

https://doi.org/10.31362/patd.1363850

Abstract

Purpose: In this article, we aimed to contribute to the literature by describing our approach to pediatric pineal
and tectal masses treated with endoscopic interventions in our clinic.
Materials and methods: We retrospectively reviewed the records of 26 patients with lesions in the pineal and
tectal regions who underwent endoscopic procedures between 2012 and 2023 at Gazi University Department
of Pediatric Neurosurgery. Demographic data, blood tumor markers (alpha fetoprotein-BETA AFP, alpha
fetoprotein-β-hCG), pathological diagnoses, reasons for clinical presentation, presence of hydrocephalus and
additional interventions were analyzed.
Results: Of the 26 patients who underwent endoscopic procedure, 6 had lesions in the pineal region and 20
had lesions in the tectal region. The success rate for ETV was 75-80%. The success rate for ETV was 78.3%
for patients with tumors in the pineal region and 84% for tectal tumors.
Conclusion: Pineal or tectal region tumors are a rare group of tumors. In addition, these regions are among
the most heterogeneous regions in the central nervous system in terms of tumor type and histology. Endoscopic
intervention through a single burr hole using rigid endoscopy is a comfortable and safe minimally invasive
method for both pathologic sampling and management of hydrocephalus in indicated cases in the same session.

Keywords

Pediatric tumors, pineal tumors, tectal tumors, neuroendoscopy

Supporting Institution

Gazi UNIVERSITY

Project Number

6e27d218-19d0-4594-a3a3-5b3f63ac37b3

Pediatrik pineal ve tektal bölge tümörleri: nöroendoskopi kullanımı

Abstract

Amaç: Bu yazıda kliniğimizde endoskopik girişimlerle tedavi edilen pediatrik pineal ve tektal kitlelere
yaklaşımımızı anlatarak literatüre katkıda bulunmayı amaçladık.
Gereç ve yöntem: Gazi Üniversitesi Çocuk Nöroşirürji Bilim Dalı'nda 2012-2023 yılları arasında pineal ve
tektal bölgede lezyonu olan ve endoskopik girişim uygulanan 26 hastanın kayıtları retrospektif olarak incelendi.
Demografik veriler, kan tümör belirteçleri (alfa fetoprotein-BETA AFP, alfa fetoprotein-β-hCG), patolojik tanılar,
klinik başvuru nedenleri, hidrosefali varlığı ve ek girişimler analiz edildi.
Bulgular: Endoskopik işlem uygulanan 26 hastanın 6'sında pineal bölgede, 20'sinde ise tektal bölgede lezyon
vardı. ETV için başarı oranı %75-80 idi. ETV için başarı oranı pineal bölgede tümörü olan hastalar için %78,3
ve tektal tümörler için %84 idi.
Sonuç: Pineal veya tektal bölge tümörleri nadir görülen bir tümör grubudur. Ayrıca bu bölgeler tümör tipi ve
histolojisi açısından santral sinir sistemindeki en heterojen bölgeler arasındadır. Rijit endoskopi kullanılarak tek
bir burr deliğinden endoskopik girişim, endikasyonu olan vakalarda aynı seansta hem patolojik örnekleme hem
de hidrosefali yönetimi için konforlu ve güvenli bir minimal invaziv yöntemdir.

Keywords

Pediatrik tümörler, pineal tümörler, tektal tümörler, nöroendoskopi

Ethical Statement

6e27d218-19d0-4594-a3a3-5b3f63ac37b3

Supporting Institution

GAZİ ÜNİVERSİTESİ

Project Number

6e27d218-19d0-4594-a3a3-5b3f63ac37b3

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