{"id":11871,"date":"2016-06-09T06:49:39","date_gmt":"2016-06-09T05:49:39","guid":{"rendered":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/"},"modified":"2019-01-26T12:51:03","modified_gmt":"2019-01-26T11:51:03","slug":"pineal-tumours","status":"publish","type":"page","link":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/paediatric-tumours\/pineal-tumours\/","title":{"rendered":"Pineal tumours"},"content":{"rendered":"<p>Pineal tumours are lesions originating in the pineal gland. These lesions are most frequent in infancy <strong>(3-8% of brain tumours in children)<\/strong> than among adults.<\/p>\n<h3>Clinical signs<\/h3>\n<p><a href=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial.jpg\" rel=\"lightbox[11871]\"><img decoding=\"async\" loading=\"lazy\" class=\"alignright size-medium wp-image-10944\" src=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial-263x300.jpg\" alt=\"tumor pineal axial\" width=\"263\" height=\"300\" srcset=\"https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial-263x300.jpg 263w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial-768x878.jpg 768w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial.jpg 896w\" sizes=\"(max-width: 263px) 100vw, 263px\" \/><\/a>Due to their location they may cause obstruction of the cerebrospinal fluid drainage and produce hydrocephalus. Other symptoms are Parinaud&#8217;s syndrome and early puberty in children.<\/p>\n<h3>Diagnostic tests<\/h3>\n<p>These tumours release markers into the blood stream and cerebrospinal fluid although they are insufficient for a definite diagnosis in the majority of cases. Tumour markers: chorionic gonadotropin, alpha-fetoprotein and carcinoembryonic antigen. Magnetic resonance imaging is essential for correct definition of the tumour and its anatomical connections.<\/p>\n<h3>Treatment<\/h3>\n<p>It is of vital importance to have experience with this type of tumours and know how to relate radiological findings with tumour markers to distinguish between the different tumour subtypes. Surgical and adjuvant treatment will vary depending on the tumour subtype:<\/p>\n<ul>\n<li><strong>Germinomas: <\/strong>the role of surgery is merely diagnostic, no vast exeresis is required. The treatment of choice is radiotherapy and sometimes chemotherapy.<\/li>\n<li><strong>Pineocytomas:<\/strong> the treatment of choice is complete surgical resection. If resection is partial radiotherapy is required.<\/li>\n<li><strong>Pinealoblastomas:<\/strong> treatment is a combination of surgery, chemotherapy and craniospinal irradiation with local overdose.<\/li>\n<li><strong>Teratomas:<\/strong>surgery is the treatment of choice. The treatment of choice for the hydrocephalus associated with these lesions, will be endoscopic third ventriculostomy, endoscopic techniques (minimally invasive) to resolve the obstruction without any need for placement of a shunt. Endoscopic techniques can also be used to obtain a biopsy and analyse the pathological anatomy of the tumour without any need for open surgery.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/pineal.jpg\" rel=\"lightbox[11871]\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-10946\" src=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/pineal-300x224.jpg\" alt=\"pineal\" width=\"500\" height=\"374\" srcset=\"https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/pineal-300x224.jpg 300w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/pineal-768x574.jpg 768w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/pineal.jpg 1024w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pineal tumours are lesions originating in the pineal gland. These lesions are most frequent in infancy (3-8% of brain tumours in children) than among adults. Clinical signs Due to their location they may cause obstruction of the cerebrospinal fluid drainage and produce hydrocephalus. Other symptoms are Parinaud&#8217;s syndrome and early puberty in children. Diagnostic tests &#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11863,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pineal tumours - Neurocirug\u00eda Barcelona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pineal tumours - Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"og:description\" content=\"Pineal tumours are lesions originating in the pineal gland. These lesions are most frequent in infancy (3-8% of brain tumours in children) than among adults. Clinical signs Due to their location they may cause obstruction of the cerebrospinal fluid drainage and produce hydrocephalus. Other symptoms are Parinaud&#8217;s syndrome and early puberty in children. Diagnostic tests ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/\" \/>\n<meta property=\"og:site_name\" content=\"Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"article:modified_time\" content=\"2019-01-26T11:51:03+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial-263x300.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/\",\"name\":\"Pineal tumours - Neurocirug\u00eda Barcelona\",\"isPartOf\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\"},\"datePublished\":\"2016-06-09T05:49:39+00:00\",\"dateModified\":\"2019-01-26T11:51:03+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pathologies\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Paediatric neurosurgery\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Paediatric tumours\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/paediatric-tumours\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Pineal tumours\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/\",\"name\":\"Neurocirug\u00eda Barcelona\",\"description\":\"Tratamiento integral de las patolog\u00edas neuroquir\u00fargicas mediante una visi\u00f3n multidisciplinar\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.neurocirugiabarcelona.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pineal tumours - Neurocirug\u00eda Barcelona","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/","og_locale":"en_US","og_type":"article","og_title":"Pineal tumours - Neurocirug\u00eda Barcelona","og_description":"Pineal tumours are lesions originating in the pineal gland. These lesions are most frequent in infancy (3-8% of brain tumours in children) than among adults. Clinical signs Due to their location they may cause obstruction of the cerebrospinal fluid drainage and produce hydrocephalus. Other symptoms are Parinaud&#8217;s syndrome and early puberty in children. Diagnostic tests ...","og_url":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/","og_site_name":"Neurocirug\u00eda Barcelona","article_modified_time":"2019-01-26T11:51:03+00:00","og_image":[{"url":"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/tumor-pineal-axial-263x300.jpg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/","url":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/","name":"Pineal tumours - Neurocirug\u00eda Barcelona","isPartOf":{"@id":"https:\/\/www.neurocirugiabarcelona.com\/#website"},"datePublished":"2016-06-09T05:49:39+00:00","dateModified":"2019-01-26T11:51:03+00:00","breadcrumb":{"@id":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/tumores-pediatricos\/pineales\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/"},{"@type":"ListItem","position":2,"name":"Pathologies","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/"},{"@type":"ListItem","position":3,"name":"Paediatric neurosurgery","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/"},{"@type":"ListItem","position":4,"name":"Paediatric tumours","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/paediatric-tumours\/"},{"@type":"ListItem","position":5,"name":"Pineal tumours"}]},{"@type":"WebSite","@id":"https:\/\/www.neurocirugiabarcelona.com\/#website","url":"https:\/\/www.neurocirugiabarcelona.com\/","name":"Neurocirug\u00eda Barcelona","description":"Tratamiento integral de las patolog\u00edas neuroquir\u00fargicas mediante una visi\u00f3n multidisciplinar","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.neurocirugiabarcelona.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11871"}],"collection":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/comments?post=11871"}],"version-history":[{"count":2,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11871\/revisions"}],"predecessor-version":[{"id":11873,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11871\/revisions\/11873"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11863"}],"wp:attachment":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/media?parent=11871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}