PMID- 24461541 OWN - NLM STAT- MEDLINE DCOM- 20141208 LR - 20161125 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 21 IP - 5 DP - 2014 May TI - Adult supratentorial extra-pineal primitive neuro-ectodermal tumors. PG - 803-9 LID - S0967-5868(13)00509-2 [pii] LID - 10.1016/j.jocn.2013.07.025 [doi] AB - Primitive neuro-ectodermal tumors (PNET) are rare malignant brain tumors, mostly undifferentiated, that tend to spread through the cerebrospinal fluid (CSF). Extra-pineal supratentorial PNET in adults are very rare. Published guidelines for adult PNET were not available until 2011, and at our institute surgeons and oncologists did not have consensus on imaging evaluation or treatment protocols between 1994 to 2008. Twenty-two consecutive adult patients with extra-pineal supratentorial PNET from this period were reviewed in this retrospective study. Their clinical profiles and radiologic images were evaluated. A pathological review based on the 2007 World Health Organization criteria was also conducted. Prognostic factors were analyzed. The 1 and 3 year overall survival rates were 64% and 32% for adult extra-pineal supratentorial PNET, respectively. Limited by the small number of tumors in this series, we suggest that negative prognostic factors are multiplicity at onset, initial CSF seeding, and tumor differentiation. Although age of onset, extent of resection, radiation and chemotherapy were assumed to be good prognostic factors, the analysis did not reveal strong significance for overall survival with univariate and multivariate analysis. We believe more detailed investigations on the genetic/molecular basis of supratentorial PNET and their clinical outcomes are warranted. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Zheng, Yun-Cong AU - Zheng YC AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Jung, Shih-Ming AU - Jung SM AD - Department of Pathology, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, Taoyuan, Taiwan. FAU - Lee, Shih-Tseng AU - Lee ST AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Chang, Chen-Nen AU - Chang CN AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Wei, Kuo-Chen AU - Wei KC AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Hsu, Yung-Hsin AU - Hsu YH AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Wu, Chieh-Tsai AU - Wu CT AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Liao, Cheng-Chih AU - Liao CC AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Lin, Chih-Lung AU - Lin CL AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Lu, Yu-Jen AU - Lu YJ AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. FAU - Huang, Yin-Cheng AU - Huang YC AD - Department of Neurosurgery, Chang Gung Memorial Hospital, Linkuo, School of Medicine, Chang Gung University, No. 5, Fu-hsin Street, Kweishan, Taoyuan 333, Taiwan. Electronic address: ns3068@hotmail.com. LA - eng PT - Journal Article DEP - 20131003 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain Neoplasms/*diagnostic imaging/mortality MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Neuroectodermal Tumors, Primitive/*diagnostic imaging/mortality MH - Radiography MH - Retrospective Studies MH - Supratentorial Neoplasms/*diagnostic imaging/mortality MH - Survival Rate/trends MH - Young Adult OTO - NOTNLM OT - Chemotherapy OT - Extra-pineal OT - Primitive neuroectodermal tumor OT - Prognosis OT - Radiation therapy EDAT- 2014/01/28 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/01/28 06:00 PHST- 2013/03/06 00:00 [received] PHST- 2013/07/15 00:00 [revised] PHST- 2013/07/15 00:00 [accepted] PHST- 2014/01/28 06:00 [entrez] PHST- 2014/01/28 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0967-5868(13)00509-2 [pii] AID - 10.1016/j.jocn.2013.07.025 [doi] PST - ppublish SO - J Clin Neurosci. 2014 May;21(5):803-9. doi: 10.1016/j.jocn.2013.07.025. Epub 2013 Oct 3.