Le site du Docteur François Fauchon

Oncologie
Conventionnement : Secteur 1
Carte Vitale Acceptée

radiothérapie des tumeurs cérébrales

 Actualité du traitement des tumeurs cérébrales 2014

clinique Saint Jean Cagnes

92-94 rue bat B,
06800 Cagnes Sur Mer, France

Contacts

  • Fixe : +33 4 93 80 58 20
Plus d'informations (Accès, Horaire...)

Centre de Haute Energie

10 Boulevard Pasteur ,
06000 Nice, France

Contacts

  • Fixe : +33 4 93 53 87 00
Plus d'informations (Accès, Horaire...)

Lamartimed


FRANCOIS FAUCHON, 39 bis rue Lamartine ,
06000 Nice, France

Contacts

  • Fixe : +33 4 93 80 58 20
Plus d'informations (Accès, Horaire...)

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    mise à jour des experts. Pineal region tumours affect children and adults and belong to numerous and various entities. The tumour site is relatively easy to localise nowadays with modern imaging techniques. However histopathological diagnosis remains however difficult: it depends on well-defined criteria for each entity. Three histological groups are usually recognised according to the WHO classification for pineal parenchymal tumours (PPT): pineocytoma, pineoblastoma and PPT with intermediate differentiation. We propose a new classification with 4 histological grades correlated to survival. The treatment for each tumour type is different. Germ cell tumours are treated with chemotherapy and irradiation of the ventricular system, leading to an average complete remission rate of 90 %. Mixed germ cells tumours, with or without tumour marker secretion, are treated initially with chemotherapy (carboplatine, VP 16 and Ifosfamide), and followed by surgery of a possible tumour remnant and focal irradiation. Treatment of other entities depends above all on surgery which can lead to significant tumour specimens for histology purposes and complete resection in many cases. This treatment allows complete remission of benign cystic tumours and pineocytomas. For malignant PPT, radiotherapy should be added to surgery but prognosis remains uncertain. For pineoblastomas, a combination of surgery, radiotherapy and chemotherapy is mandatory. Long-term follow up is useful for the detection of neurocognitive deficit, and of early (germinal tumours) or late recurrences (PPT). Key words: pineal region tumour, germ cell tumour, primitive parenchymal pineal tumour, ependymoma, radiotherapy, chemotherapy, brain tumour.

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    Le traitement du cancer de l’œsophage dépend de l’avancement de votre maladie et de votre état de santé. Il peut faire appel à une chirurgie, une radiothérapie et une chimiothérapie.

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