Abstract
Pineal region tumors are rare in children. They are predominantlly seen in males and median age is usually reported less than 10 years according to different studies. They show diversity in histopathology and the treatment of these tumors depends majorly on this feature. Germ cell tumors compose nearly 60% of all cases and pineal parenchymal tumors were the second most common tumor type in this region. Unlike the other parts of the brain, gliomas and other tumors constitute less than 5% of the tumors of this region. Lesions of benign histology should also be considered in differential diagnosis. Endocrinological signs and symptoms may also prominently accompany the symtoms and signs of increased intracranial pressure and hydrocephalus because of the regulatory function of the pineal gland on the whole endocrine system. Besides tumor histopathology, the prognosis is also associated with treatment modalities such as surgery which is the mainstay of the treatment and appopriate adjuvant and/or neoadjuvant treatment modalities which would be discussed later in the subsequent chapter.
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References
Al-Hussaini M, Sultan I, Abuirmileh N, Jaradat I, Qaddoumi I (2009) Pineal gland tumors: experience from SEER database. J Neurooncol 94:351–358
Balmaceda C, Heller G, Rosenblum M, Diez B, Villablanca JG, Kellie S, Maher P, Vlamis V, Walker RW, Leibel S, Finlay JL (1996) Chemotherapy without irradiation—a novel approach for newly diagnosed CNS germ cell tumors: results of an international cooperative trial. The First International Central Nervous System Germ Cell Tumor Study. J Clin Oncol 14:2908–2915
Berns S, Pearl G (2006) Review of pineal anlage tumor with divergent histology. Arch Pathol Lab Med 130:1233–1235
Blaney SM, Kun LE, Hunter J, Rorke-Adams LB, Lau C, Strother D, Pollack IF (2006) Tumors of the central nervous system. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology, 5th edn. Lippincott, Williams and Wilkins, Philadelphia, pp 786–864
Chen W (2007) Clinical applications of PET in brain tumors. J Nucl Med 48:1468–1481
Cho BK, Wang KC, Nam DH, Kim DG, Jung HW, Kim HJ, Han DH, Choi KS (1998) Pineal tumors: experience with 48 cases over 10 years. Childs Nerv Syst 14:53–58
Choi JU, Kim DS, Chung SS, Kim TS (1998) Treatment of germ cell tumors in the pineal region. Childs Nerv Syst 14:41–48
Cushing B, Perlman EJ, Marina NM, Castleberry RP (2006) Germ cell tumors. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology. Lippincott, Williams and Wilkins, Philadelphia, p 1116
de Girolami U, Fêvre-Montange M, Seilhean D, Jouvet A (2008) Pathology of tumors of the pineal region. Rev Neurol 164:882–895
Edwards MS, Hudgins RJ, Wilson CB, Levin WA, Wara WM (1988) Pineal region tumors in children. J Neurosurg 68:689–697
Fèvre-Montange M, Szathmari A, Champier J, Mokhtari K, Chrétien F, Coulon A, Figarella-Branger D, Polivka M, Varlet P, Uro-Coste E, Fauchon F, Jouvet A (2008) Pineocytoma and pineal parenchymal tumors of intermediate differentiation presenting cytologic pleomorphism: a multicenter study. Brain Pathol 18:354–359
Fuller BG, Kapp DS, Cox R (1994) Radiation therapy of pineal region tumors: 25 new cases and a review of 208 previously reported cases. Int Radiat Oncol Biol Phys 28:229–245
Gilheeney SW, Saad A, Chi S, Turner C, Ullrich NJ, Goumnerova L, Scott RM, Marcus K, Lehman L, de Girolami U, Kieran MW (2008) Outcome of pineoblastoma after surgery, radiation therapy and chemotherapy. J Neurooncol 89:89–95
Goodwin TL, Sainani K, Fisher PG (2009) Incidence patterns of central nervous system germ cell tumors: a SEER study. J Pediatr Hematol Oncol 31:541–544
Graziano SL, Paolozzi FP, Rudolph AR, Stewart WA, Elbadawi A, Comis RL (1987) Mixed germ-cell tumor of the pineal region. J Neurosurg 66:300–304
Guyton AC (1991) Endocrinology and reproduction: epiphysis (pineal gland). In: Textbook of physiology, Saunders, 8th edn. Philadelphia, p 1399
Hoffman HJ, Otsubo H, Hendrick EB, Humphreys RP, Drake JM, Becker LE, Greenberg M, Jenkin D (1991) Intracranial germ cell tumors in children. J Neurosurg 74:545–551
Janmohamed S, Grossman AB, Metcalfe K, Lowe DG, Wood DF, Chew SL, Monson JP, Besser GM, Plowman PN (2002) Suprasellar germ cell tumours: specific problems and the evolution of optimal management with a combined chemoradiotherapy regimen. Clin Endocrinol (Oxf) 57:487–500
Jennings MT, Gelma R, Hochberg F (1985) Intracranial germ-cell tumors: natural history and pathogenesis. J Neurosurg 63:155–167
Jouvet A, Saint-Pierre G, Fauchon F, Privat K, Bouffet E, Ruchoux MM, Chauveinc L, Fèvre-Montange M (2000) Pineal parenchymal tumors: a correlation of histological features with prognosis in 66 cases. Brain Pathol 10:49–60
Kang JK, Jeun SS, Hong YK, Park CK, Son BC, Lee IW, Kim MC (1998) Experience with pineal region tumors. Childs Nerv Syst 14:63–68
Kelly PA, Metcalfe K, Evanson J, Sabin I, Plowman PN, Monson JP (2009) Positron emission tomography in the diagnosis and management of intracranial germ cell tumours. Horm Res 72:190–196
Knierim DS, Yamada S (2003) Pineal tumors and associated lesions: the effect of ethnicity on tumor type and treatment. Pediatr Neurosurg 38:307–323
Koide O, Watanabe Y, Sato K (1980) A pathological survey of intracranial germinoma and pinealoma in Japan. Cancer 45:2119–2130
Konovalov AN, Pitskhelauri DI (2003) Principles of treatment of the pineal region tumors. Surg Neurol 59:250–268
Kumar P, Tatke M, Sharma A, Singh D (2006) Histological analysis of lesions of the pineal region: a retrospective study of 12 years. Pathol Res Pract 202:85–92
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (2007a) WHO classification of tumors of the central nervous system, 4th edn. International Agency of Research on Cancer, Lyon
Louis DN et al (2007b) The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114:97–109
Packer RJ, Sutton LN, Rosenstock JG, Rorke LB, Bilaniuk LT, Zimmerman RA, Littman PA, Bruce DA, Schut L (1984) Pineal region tumors of childhood. Pediatrics 74:97–102
Pendl G, Vorkapic P (1985) Surgery of pineal region lesions in childhood. Acta Neurochirurgica Suppl 35:114–118
Plowman PN, Saunders CA, Maisey M (1997) On the usefulness of brain PET scanning to the pediatric neuro-oncologist. Br J Neurosurg 11:525–532
Rollins NK, Lowry PA, Shapiro KN (1995) Comparisoon of gadolinum enhanced MRI and thallium −201 single photon emission computed tomography in pediatric brain tumors. Pediatr Neurosurg 22:8–14
Rubinstein LJ (1981) Cytogenesis and differentiation of pineal neoplasms. Hum Pathol 12:4481–4484
Serrano J, Infante JR, Rayo JI, Dominguez L, Garcia-Bernardo L, Duràn C, Sànchez R (2009) In-111 pentetreotide in recurrent pineocytoma. Clin Nucl Med 34:117
Shin HJ, Cho BK, Jung HW, Wang KC (1998) Pediatric pineal tumors: need for a direct surgical approach and complications of the occipital transtentorial approach. Childs Nerv Syst 14:174–178
Snell RS (1992) The cerebrum: epithalamus. In: Clinical neuoanatomy for medical students, 3rd edn. Little Brown and Company, Boston/Toronto/London, pp 252–254
Tamaki N, Yin D (2000) Therapeutic strategies and surgical results for pineal region tumours. J Clin Neurosci 7:125–128
Taylor RE, Donachie PH, Weston CL, Robinson KJ, Lucraft H, Saran F, Ellison DW, Ironside J, Walker DA, Pizer BL (2009) Children’s Cancer and Leukaemia Group CNS Tumour Division. Impact of radiotherapy parameters on outcome for patients with supratentorial primitive neuro-ectodermal tumours entered into the SIOP/UKCCSG PNET 3 study. Radiother Oncol 92:83–88
The comittee of Brain Tumor Registry of Japan (1992) Brain tumor registry of Japan (Tokyo). Neurol Med Chir 32:381–547
Varan A, Akyüz C, Büyükpamukçu M (1998) A rare presentation of trilateral retinoblastoma. Tumori 84:515–516
Yazici N, Varan A, Soylemezoglu F, Zorlu F, Kutluk T, Akyüz C, Büyükpamukçu M (2009) Pineal region tumors in children: a single center experience. Neuropediatrics 40:15–21
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Yazici, N., Varan, A. (2013). Pineal Region Tumors: Clinical Aspects. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 10. Tumors of the Central Nervous System, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5681-6_2
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