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Search for: [Abstract = "Introduction Tumors of the central nervous system are the most commonpediatric solid tumors. They are less common in the first year of lifebut rank second from infantile malignancies. CNS tumors differ inhistological features, location, dynamics of development and clinicalpresentation. In spite of disproportionately large size they arerecognized late which is the result of the capability of infant scull anddeveloping brain. Among clinical symptoms usually dominatenonspecific symptoms of increasing intracranial pressure.Neuroectodermal tumors are the most common in neonatal andinfantile period. Congenital tumors of central nervous system generatedifficulties in therapeutic management and have a poor prognosis.Aim of the studyThe aim of the study is to analyze diagnostic and therapeuticprocedures and outcome in tumors of CNS, to establish factors whichhave an impact on outcome and to attempt to draw up a proceduralalgorithm especially in terms of ethics in cases with fatal prognosis.Material and methodsFor the purpose of the study a group of 42 patients presenting to theDepartment of Neurosurgery at Children’s University Hospital inKrakow during the years 1998\-2012 due to congenital CNS tumorsaccording to Ellams’ classification was enrolled. The examined grouprepresented 8,89% of all children operated on due to newly recognizedCNS tumor over that period of time. The retrospective review wasperformed in 28 cases based on medical records and history obtainedfrom parents. . There was also analysis of 14 new cases of childrenwho had been admitted to the Department of Neurosurgery due tocongenital CNS tumors. The material consists of sixteen girls \(38,1%\)and twenty\-six boys \(61,9%\).Each case was analyzed according to symptoms and age of their onsetand diagnosis, duration of symptoms and signs, tumor location,histology of neoplasm, methods of treatment and outcome.Functional outcome was evaluating according to Glasgow OutcomeScale \(GOS\) and Lansky Performance Scale all together and after 1and 5 years from diagnosis."]

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