@entity1745 : a review of 70 pediatric XXXX .

@entity1 @entity66 @entity242 @entity5 @entity16 @entity4097 @entity1745 @entity521 @entity158 @entity451
The authors report their experience with 70 pediatric @entity1 with @entity1745 ( @entity1745 ) due to @entity5 identified among 898 @entity1 with solid @entity5 . An @entity5 was the most frequent cause of @entity1745 (71%); 54% of these were soft tissue @entity242 and @entity521 . Most @entity5 (70%) were outside the spinal cord, 9/12 being metastatic medulloblastomas. The @entity1745 localized mainly to the dorsal and lumbosacral regions (42% each). @entity158 was the most common symptom (94%). MRI proved diagnostic in all cases in which it was used, while myelography was diagnostic in 85% of 26 @entity1 . CT scan demonstrated the lesion in 83% of the @entity1 . Laminectomy was provided for @entity1 with @entity451 of less than 96 h evolution; isolated recurrence of the main @entity5 ; a primary @entity4097 ; progression of neurologic symptoms after chemotherapy/radiotherapy; chemotherapy and radiotherapy-resistant @entity5 (when known); resection of a @entity5 . Surgery was avoided when prognosis of @entity66 was poor or risks exceeded possible benefits. Twelve/twenty-one (57%) @entity1 with @entity451 were able to walk after laminectomy only, while 14% (2/14) improved after chemotherapy and radiotherapy. Survival rates were 38% for the former and 36% for the latter. Overall survival was related to the original malignancy. All @entity1 (12) admitted without @entity451 and submitted to laminectomy were able to walk, and of these, 6 presented a primary @entity4097 . The remaining had @entity5 that extended to the spinal canal. Almost 87% (20/23) of the @entity1 without @entity451 who submitted to medical treatment were able to walk, while only one progressed to @entity451 . @entity1 with @entity1745 may entertain radio- and chemotherapy when harboring @entity5 responding to such therapies and present no evidence of @entity16 progression. The latter manifestation is a strong indication for laminectomy without delay.
