Long-Term Surgical Resection Outcomes of Pediatric Myxopapillary Ependymoma: Experience of Two Centers and Brief Literature Review

Myxopapillary ependymoma (MPE) is a rarely reported lesion of the spinal cord in the pediatric population. Based on their low mitotic index and slow-growth, MPEs are classified as low-grade glial tumors. However, MPEs have malignant characteristics, such as distant neural axis and extraneural axis d...

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Bibliographic Details
Published in:World neurosurgery 2020-04, Vol.136, p.e245-e261
Main Authors: Abdallah, Anas, Emel, Erhan, Gündüz, Hasan Burak, Sofuoğlu, Özden Erhan, Asiltürk, Murad, Abdallah, Betül Güler
Format: Article
Language:English
Subjects:
Adolescent
Child
Drop metastasis
Ependymoma - pathology
Ependymoma - surgery
Female
Gross total resection
Humans
Male
Myxopapillary ependymoma
Neoplasm Recurrence, Local - pathology
Neurosurgical Procedures
Pediatric spinal tumors
Retrospective Studies
Spinal Cord Neoplasms - pathology
Spinal Cord Neoplasms - surgery
Spinal ependymoma
Treatment Outcome
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Summary:Myxopapillary ependymoma (MPE) is a rarely reported lesion of the spinal cord in the pediatric population. Based on their low mitotic index and slow-growth, MPEs are classified as low-grade glial tumors. However, MPEs have malignant characteristics, such as distant neural axis and extraneural axis dissemination. We present the long-term surgical resection outcomes of 5 consecutive pediatric MPE cases and the results of a literature search for reported cases of pediatric spinal MPE. We retrospectively reviewed the medical records of 38 primary spinal MPE cases who underwent surgery at 2 neurosurgical centers over a 16-year period from January 2004 to January 2019. All pediatric cases (age
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2019.12.128