The more aggressive astrocytoma is, the more intense the treatment will be. The age of the child is also taken into consideration. Young children should not have radiation therapy, as it can lead to severe side effects. Surgery may be the best option for a grade I tumor, but it may not be an option for a grade II tumor.
A child’s age is important to determine if the tumor is high- or low-grade. If it is low-grade, a biopsy may not be necessary and the tumor does not grow. If the child does not show symptoms, surgery will not be needed. If the child shows no signs or develops a progressive disease, however, surgery may be the best option. Surgical resection is the only option for a high-grade astrocytoma.
A recent population-based study of astrocytomas in children has shed light on the risk factors that affect the risk for the disease and treatment. The age of the child and location of the tumor play a significant role in determining how it might progress and what the child’s treatment options should be. Although no specific diagnosis can be made, it is essential for parents and doctors to understand that the best treatment options are individualized.
The location of the tumor is very important. It will affect the child’s health and development, and may affect their age and symptoms. If left untreated, astrocytomas in childhood will progress and require surgery. In such a case, children may not experience symptoms and may need to be treated for a year or two. The outcome of treatment for a child with a malignant astrocytoma is poor, but it is possible.
If the tumor is located in the optic chiasm or hypothalamus, surgery may not be possible. Depending on the location, surgery may not be the best option for a child with a low-grade astrocytoma. While a high-grade astrocytoma is not treated at all, it is important to monitor the patient and the tumour’s progress. For some children, this will mean a long and painful treatment process.
A population-based study of astrocytomas in children has helped overcome the biases inherent in series based on the experience of a particular surgeon or medical center. The researchers found that astrocytomas in children tend to be low-grade, although some cases are grade III or IV. The study also showed a correlation between NF1 and NF2 gene variants. It is unclear whether either is a risk factor for astrocytomas.
Treatment for astrocytomas in childhood is usually performed using surgery. The location of the tumour can affect the child’s symptoms and the course of treatment. Fortunately, in most cases, astrocytomas in childhood can be detected early, and the child may not need any treatment at all. The child’s age and the type of astrocytoma will determine how it affects the body. The doctor will discuss the risks and benefits of any possible treatment.
