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] |