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Immune checkpoint inhibitors and radiosurgery for newly diagnosed melanoma brain metastases
Authors:Tyler P. Robin  Robert E. Breeze  Derek E. Smith  Chad G. Rusthoven  Karl D. Lewis  Rene Gonzalez  Amanda Brill  Robin Saiki  Kelly Stuhr  Laurie E. Gaspar  Sana D. Karam  David Raben  Brian D. Kavanagh  Sameer K. Nath  Arthur K. Liu
Affiliation:1.Department of Pediatrics, Asan Medical Center Children’s Hospital,University of Ulsan College of Medicine,Songpa-Gu,South Korea;2.Department of Neurosurgery, Asan Medical Center Children’s Hospital,University of Ulsan College of Medicine,Songpa-Gu,South Korea
Abstract:
As survival rates have improved owing to advances in management strategies for pediatric brain tumors, long-term complications such as endocrine dysfunction, have emerged as a major issue. This study investigated the long-term endocrine effects of childhood-onset brain tumors in a large number of patients. This study included 151 patients with brain tumors diagnosed between January 1995 and December 2016. The following data were retrospectively reviewed: tumor location, tumor histology, endocrine abnormalities, hypothalamic involvement on brain imaging, treatment modalities, and trends in body mass index. The mean age at diagnosis of patients with sellar/suprasellar (SE/SUP-SE) tumors and supra/infratentorial (ST/IT) tumors was 9.9?±?4.5 and 6.5?±?4.2 years, respectively. In patient with prepubertal age at diagnosis, height standard deviation score was lower in patients with SE/SUP-SE tumors at diagnosis (P?=?0.031), which was lower in patients with ST/IT tumors at the final visit (P?P?
Keywords:
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