<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>Introduction</bold>: Pilocytic astrocytoma is a common tumour in paediatric patients. A low-grade glioma, it is most commonly treated by surgery, with various post-surgical side effects. New methods of treatment and follow-up are constantly evolving to offer alternative options to paediatric patients whose nerve structures are developing.
<bold>Case presentation</bold>: A 9-year-old patient diagnosed with a pilocytic astrocytoma by MRI and histopathological examination underwent a biopsy and evacuation procedure of the cystic component after which the patient’s condition improved significantly. The ‘wait-and-see’ approach using MRI instead of total surgical excision of the tumour was preferred, and the patient had favourable results on control imaging.
<bold>Conclusions</bold>: Paediatric patients suffering from pilocytic astrocytoma with favourable imaging and histopathological features may consider MRI follow-up instead of surgical excision until the character of the tumour changes or until the brain has reached full development.
</abstract>

Introduction: Pilocytic astrocytoma is a common tumour in paediatric patients. A low-grade glioma, it is most commonly treated by surgery, with various post-surgical side effects. New methods of treatment and follow-up are constantly evolving to offer alternative options to paediatric patients whose nerve structures are developing.
Case presentation: A 9-year-old patient diagnosed with a pilocytic astrocytoma by MRI and histopathological examination underwent a biopsy and evacuation procedure of the cystic component after which the patient’s condition improved significantly. The ‘wait-and-see’ approach using MRI instead of total surgical excision of the tumour was preferred, and the patient had favourable results on control imaging.
Conclusions: Paediatric patients suffering from pilocytic astrocytoma with favourable imaging and histopathological features may consider MRI follow-up instead of surgical excision until the character of the tumour changes or until the brain has reached full development.

Non-surgical approach to a paediatric pilocytic astrocytoma with MRI follow-up. Case report and brief literature review

George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution 4.0 International License.

Introduction: Pilocytic astrocytoma is a common tumour in paediatric patients. A low-grade glioma, it is most commonly treated by surgery, with various...

Non-surgical approach to a paediatric pilocytic astrocytoma with MRI follow-up. Case report and brief literature review

Published Online: Jan 07, 2023

Page range: 183 - 186

Received: Jul 14, 2022

Accepted: Sep 08, 2022

DOI: https://doi.org/10.2478/amma-2022-0022

Keywords
pilocytic astrocytoma, magnetic resonance imaging, low-grade glioma, paediatric brain tumour

© 2022 Andrei-Cristian Fülöp et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Non-surgical approach to a paediatric pilocytic astrocytoma with MRI follow-up. Case report and brief literature review

Published Online: Jan 07, 2023

Page range: 183 - 186

Received: Jul 14, 2022

Accepted: Sep 08, 2022

DOI: https://doi.org/10.2478/amma-2022-0022

Keywordspilocytic astrocytoma, magnetic resonance imaging, low-grade glioma, paediatric brain tumour

© 2022 Andrei-Cristian Fülöp et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
pilocytic astrocytoma, magnetic resonance imaging, low-grade glioma, paediatric brain tumour