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. 2023 Apr 28;13(9):1588. doi: 10.3390/diagnostics13091588

Table 1.

Categorized risk factors that have been studied in childhood-onset CP recurrence. Each factor is colored according to the following: dark blue for factors strongly protective against recurrence; light blue for factors that most probably have no association with recurrence; dark red as strongly heightened risk; light red as weakly heightened risk; grey for factors with inconclusive data.

Category Risk Factor Association Found Study
Epidemiological features Younger age Increases the risk Rajan et al. [25], De Vile et al. [23] Fisher et al. [40], Gautier et al. [24], Šteňo et al. [46], Drimtzias et al. [47]
No association Duff et al. [32], Lena et al. [48], Al Shail et al. [49]
Male sex Increases the risk Gautier et al. [24], Mortini et al. [22]
No association Kim et al. [14], Lena et al. [48], Tena-Suck et al. [30], Tomita et al. [29], Al Shail et al. [49]
Morphological features Large size Increases the risk Hetelekidis et al. [19], de Vile et al. [23], Elliot et al. [15] Gupta et al. [26], Shi et al. [41], Weiner et al. [27], Yosef et al. [50], Kobayashi et al. [51]
Tumor location [e.g., third ventricle involvement] Increases the risk Kim et al. [14], Fahlbusch et al. [28], Tomita et al. [29], Van Effenterre et al. [18], Kim et al. [14]
Tumor adherence to surrounding tissues Increases the risk Fahlbusch et al. [28], Tomita et al. [29], Karavitaki et al. [1], Pan et al. [57], Pascual et al. [55], Pascual et al. [58], Shi et al. [41], Effenterre et al. [18]
Cystic tumor consistency Increases the risk Gupta et al. [26], Lee et al. [60], Prieto et al. [16]
Clinical presentation Hydrocephalus (increased ICP) Increases the risk Prieto et al. [16], DeVile et al. [23], Gautier et al. [24]
Some association Kim et al. [14], Tomita et al. [29], Gupta et al. [26], Al Shail et al. [49], Poretti et al. [9], Liubinas et al. [61], Fahlbusch et al. [28]
No association Duff et al. [32], Karavitaki et al. [1], Kim et al. [14], Puget et al. [44]
Visual disturbances at presentation Increases the risk Duff et al. [32], Lee et al. [62]
No association Shail et al. [49], Tena-Suck et al. [30], Drimtzias et al. [47]
Hypothalamic involvement Some association Vinchon et al. [33], De Vile et al. [23], Poretti et al. [9]
Decreases the risk Gautier et al. [24]
Hormonal-related symptoms Increases the risk Tena-suck et al. [30], Rogers et al. [63], Erfurth et al. [64]
Better outcome Gautier et al. [24]
Histological features Adamantinomatous vs. papillary CP Adamantinomatous increases recurrence risk Adamson et al. [65], Szeifert et al. [66], Crotty et al. [67], Tavangar et al. [68]
No difference between the two types Duff et al. [32], Eldevik et al. [69], Gupta et al. [26], Kim et al. [14], Minamida et al. [70], Tena-Suck et al. [30], Weiner et al. [27], Prieto et al. [16], Agozzino et al. [35], Zygourakis et al. [71]
Presence of finger-like epithelial protrusions Increases the risk Adamson et al. [65], Weiner et al. [27]
No association Duff et al. [32], Gupta et al. [26], Tena-Suck et al. [30]
Presence of whorl-like arrays Increases the risk Stache et al. [31], Tena-Suck et al. [30],
Intense reactive peritumoral gliosis Possible risk increase Pascual et al. [58], Qi et al. [57], Weiner et al. [27], Bartlett [72]
Possible positive effect on number of recurrences Vile et al. [23], Minamida et al. [70], Tomita et al. [29], Weiner et al. [27], Adamson et al. [65], Prieto et al. [16]
Molecular features High Ki-67 expression Increases the risk Nishi et al. [73], Rodriguez et al. [34], Prieto et al. [16], Raghavan et al. [74], Izumoto et al. [75], Anegawa et al. [76], Guadagno et al. [77], Xu et al. [78]
No association Agozzino et al. [35], Kim et al. [14], Park et al. [79], Losa et al. [80], Duo et al. [81], Raghavan et al. [74], Yalçın et al. [82], Moszczyńska et al. [83]
p53 gene loss of function Increases the risk Tena-Suck et al. [30]
Possible association Ishida et al. [36], Lefranc et al. [39], Prieto et al. [16], Ujifuku et al. [84]
No association Momota et al. [85], Yalcin et al. [82]
Vascular endothelial growth factor (VEGF) Increases the risk Liu et al. [86], Sun et al. [87], Agozzino et al. [35], Xia et al. [88], Elmaci et al. [37]
No association Xu et al. [89]
Expression of RAR isotypes and cathepsins RARγ increases the risk Lubansu et al. [38], Lefranc et al. [39]
Hormones and their receptors Possible association Hofmann et al. [90], Li et al. [91]
No association Martínez-Ortega et al. [92]
Therapeutic approach Presence of tumor remnants after excision Increases the risk Amendola et al. [93], Baskin et al. [94], Cabezudo et al. [95], Carmel et al. [96], Crotty et al. [67], De Vile et al. [23], Duff et al. [32], Elliot et al. [15], Fahlbusch et al. [28], Eldevik et al. [69], Gautier et al. [24], Gupta et al. [26], Hetelekidis et al. [19], Hoffman et al. [13], Karavitaki et al. [1], Khafaga et al. [97], Lena et al. [48], Mortini et al. [22], Puget et al. [44], Schoenfeld et al. [20], Shi et al. [41], Tena-Suck et al. [30], Thompson et al. [98], Tomita et al. [29], Van Effenterre et al. [18], Weiner et al. [27], Yasargil et al. [99], Zuccaro et al. [100]
Neurosurgical team expertise Affects the recurrence rate Mortini et al. [101], Bao et al. [102], Yosef et al. [50], Zygourakis et al. [71], Prieto et al. [16], Tavangar et al. [68]
Use of radiotherapy after subtotal surgical removal Decreases the risk Baskin et al. [94], Cabezudo et al. [95], Carmel et al. [96], Crotty et al. [67], De Vile et al. [23], Duff et al. [32], Eldevik et al. [69], Fisher et al. [40], Hetelekidis et al. [19], Karavitaki et al. [1], Khafaga et al. [97], Mortini et al. [22], Richmond et al. [103], Schoenfeld et al. [20], Stahnke et al. [104], Thompson et al. [98], Tomita et al. [29], Thomsett et al. [105], Weiss et al. [106], Wen et al. [107], Amendola et al. [93], Enayet et al. [108], Stripp et al. [109]
Presence of calcifications Increases the risk Fahlbusch et al. [28], Fisher et al. [40], Zhang et al. 2008 [110], Cheng et al. [111]
No association Elliott et al. [42], Drimtzias et al. [47]
Use of GH replacement therapy Increases the risk Taguchi et al. [112], Niu et al. [113]
No association Arslanian et al. [114], Olsson et al. [115], Kanev et al. [116], Moshang [43], Karavitaki et al. [117], Rohrer et al. [118], Boekhoff et al. [119], Boguszewski et al. [120], Puget et al. [44], Kim et al. [14], Elliott et al. [15], Clayton et al. [121], Child et al. [122], Darendeliler et al. [45], Moshang et al. [123], Price et al. [124], Smith et al. [125]
Decreases the risk Alotaibi et al. [126]