Diffuse intrinsic pontine glioma biopsy: a single institution experience

Pediatr Blood Cancer. 2015 Jan;62(1):163-5. doi: 10.1002/pbc.25224. Epub 2014 Sep 27.

Abstract

Tumor biopsy is rarely performed in diffuse intrinsic pontine glioma (DIPG) due to the presumed risk of surgical complications, although data on the surgery related morbidity of DIPG biopsy is sparse. We performed a retrospective review on 22 consecutive cases of DIPG diagnosed from 2002 to 2012 at Children's Hospital of Michigan, 15 of which underwent biopsy. Transient new or worsening neurological deficits were observed in three of 15 cases following surgery. No surgery related mortality or permanent deficit was observed, and the mean overall survival was 10.4 ± 3.8 months. Undergoing biopsy did not adversely affect the outcome.

Keywords: DIPG; astrocytoma; biopsy.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Biopsy
  • Brain Stem Neoplasms / diagnosis
  • Brain Stem Neoplasms / mortality
  • Brain Stem Neoplasms / surgery*
  • Child
  • Child, Preschool
  • Diagnostic Imaging
  • Female
  • Follow-Up Studies
  • Glioma / diagnosis
  • Glioma / mortality
  • Glioma / surgery*
  • Humans
  • Infant
  • Male
  • Neoplasm Staging
  • Prognosis
  • Retrospective Studies
  • Survival Rate