美国National Cancer Institute 对儿童脑干胶质瘤的治疗方案

来源: 志在千里 于 2014-08-24 15:54:06 [] [旧帖] [给我悄悄话] 阅读数 : (2675 bytes)

美国儿童医院一般由儿童肿瘤内科医师中对神经肿瘤内科有专长的医师担任脑干胶质瘤的主治医师。 脑肿瘤分为可能手术和不能手术两种。 可能手术的病人由儿童神经外科医师手术。并有神经肿瘤内科和放疗专家决定术后放疗和化疗方案。不能或不需手术的病人有观察， 放疗， 靶向治疗等方案。 整个治疗有很大一个专家团队。 健坛好像没有这样一个专家团队可以回答非常具体的问题。但是National Cancer Institute 对儿童脑干胶质瘤的治疗方案有以下描述。希望有帮助。

http://www.cancer.gov/cancertopics/pdq/treatment/child-brain-stem-gli deoma/Patient/page5

Treatment Options for Childhood Brain Stem Glioma

Newly Diagnosed Childhood Brain Stem Glioma
Recurrent Childhood Brain Stem Glioma


Newly Diagnosed Childhood Brain Stem Glioma

Newly diagnosed childhood brain stem glioma is a tumor for which no treatment has been given. The child may have received drugs or treatment to relieve signs or symptoms caused by the tumor.

Standard treatment of diffuse intrinsic pontine glioma (DIPG) may include the following:

Radiation therapy.
Chemotherapy (in infants).

Standard treatment of focal or low-grade glioma may include the following:

Surgery that may be followed by external radiation therapy and/or chemotherapy.
Observation for small tumors that grow slowly. Cerebrospinal fluid diversion may be done when there is extra fluid in the brain.
Internal radiation therapy with radioactive seeds, with or without chemotherapy, when the tumor cannot be removed by surgery.
Targeted therapy with a BRAF kinase inhibitor, for certain tumors that cannot be removed by surgery.

Treatment of brain stem glioma in children with neurofibromatosis type 1 may be observation. The tumors are slow-growing in these children and may not need specific treatment for years.

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with untreated childhood brain stem glioma. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your child's doctor about clinical trials that may be right for your child. General information about clinical trials is available from the NCI Web site.

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