Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors
IntroductionThe surgical treatment of brain tumors has evolved over time, offering different strategies tailored to patients and their specific lesions. Among these strategies, Laser Interstitial Thermal Therapy (LITT) is one of the most recent advances in pediatric neurooncological surgery, and its...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1120286/full |
| _version_ | 1827964143144009728 |
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| author | Barbara Spacca Marco Di Maurizio Manuela Grandoni Sara Tempesti Lorenzo Genitori |
| author_facet | Barbara Spacca Marco Di Maurizio Manuela Grandoni Sara Tempesti Lorenzo Genitori |
| author_sort | Barbara Spacca |
| collection | DOAJ |
| description | IntroductionThe surgical treatment of brain tumors has evolved over time, offering different strategies tailored to patients and their specific lesions. Among these strategies, Laser Interstitial Thermal Therapy (LITT) is one of the most recent advances in pediatric neurooncological surgery, and its results and evolution are still under assessment.MethodsWe retrospectively analyzed data from six pediatric patients with deep-seated brain tumors treated with LITT at a single center between November 2019 and June 2022. A total of four patients underwent a stereotaxic biopsy during the same operating session. The indications and preparation for LITT, technical issues, clinical and radiological follow-up, impact on quality of life, and oncological treatment are discussed.ResultsThe mean patient age eight years (ranging from 2 to 11 years). The lesion was thalamic in four patients, thalamo-peduncular in one, and occipital posterior periventricular in one. In total, two patients had been previously diagnosed with low-grade glioma (LGG). Biopsies revealed LGG in two patients, ganglioglioma grade I in one, and diffuse high-grade glioma (HGG) in one. Postoperatively, two patients presented with transient motor deficits. The mean follow-up period was 17 months (ranging from 5 to 32 months). Radiological follow-up showed a progressive reduction of the tumor in patients with LGG.ConclusionLaser interstitial thermal therapy is a promising, minimally invasive treatment for deep-seated tumors in children. The results of lesion reduction appear to be relevant in LGGs and continue over time. It can be used as an alternative treatment for tumors located at sites that are difficult to access surgically or where other standard treatment options have failed. |
| first_indexed | 2024-04-09T17:09:35Z |
| format | Article |
| id | doaj.art-0c225bbb9b00416b99a453e53869cd67 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T17:09:35Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-0c225bbb9b00416b99a453e53869cd672023-04-20T05:59:06ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-04-011410.3389/fneur.2023.11202861120286Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumorsBarbara Spacca0Marco Di Maurizio1Manuela Grandoni2Sara Tempesti3Lorenzo Genitori4Neurosurgery Unit, Meyer Children’s Hospital IRCCS, Florence, ItalyRadiology Unit, Meyer Children’s Hospital IRCCS, Florence, ItalyNeurosurgery Unit, Meyer Children’s Hospital IRCCS, Florence, ItalyRadiology Unit, Meyer Children’s Hospital IRCCS, Florence, ItalyNeurosurgery Unit, Meyer Children’s Hospital IRCCS, Florence, ItalyIntroductionThe surgical treatment of brain tumors has evolved over time, offering different strategies tailored to patients and their specific lesions. Among these strategies, Laser Interstitial Thermal Therapy (LITT) is one of the most recent advances in pediatric neurooncological surgery, and its results and evolution are still under assessment.MethodsWe retrospectively analyzed data from six pediatric patients with deep-seated brain tumors treated with LITT at a single center between November 2019 and June 2022. A total of four patients underwent a stereotaxic biopsy during the same operating session. The indications and preparation for LITT, technical issues, clinical and radiological follow-up, impact on quality of life, and oncological treatment are discussed.ResultsThe mean patient age eight years (ranging from 2 to 11 years). The lesion was thalamic in four patients, thalamo-peduncular in one, and occipital posterior periventricular in one. In total, two patients had been previously diagnosed with low-grade glioma (LGG). Biopsies revealed LGG in two patients, ganglioglioma grade I in one, and diffuse high-grade glioma (HGG) in one. Postoperatively, two patients presented with transient motor deficits. The mean follow-up period was 17 months (ranging from 5 to 32 months). Radiological follow-up showed a progressive reduction of the tumor in patients with LGG.ConclusionLaser interstitial thermal therapy is a promising, minimally invasive treatment for deep-seated tumors in children. The results of lesion reduction appear to be relevant in LGGs and continue over time. It can be used as an alternative treatment for tumors located at sites that are difficult to access surgically or where other standard treatment options have failed.https://www.frontiersin.org/articles/10.3389/fneur.2023.1120286/fullLITTlaserlaser interstitial thermal therapybrain tumorpediatric neuro-oncology |
| spellingShingle | Barbara Spacca Marco Di Maurizio Manuela Grandoni Sara Tempesti Lorenzo Genitori Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors Frontiers in Neurology LITT laser laser interstitial thermal therapy brain tumor pediatric neuro-oncology |
| title | Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors |
| title_full | Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors |
| title_fullStr | Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors |
| title_full_unstemmed | Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors |
| title_short | Laser interstitial thermal therapy (LITT) for pediatric patients affected by intracranial tumors |
| title_sort | laser interstitial thermal therapy litt for pediatric patients affected by intracranial tumors |
| topic | LITT laser laser interstitial thermal therapy brain tumor pediatric neuro-oncology |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1120286/full |
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