{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:49:02Z","timestamp":1783406942941,"version":"3.54.6"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n<jats:title>OBJECT<\/jats:title>\n<jats:p>Primary CNS sarcomas are very rare pediatric tumors with no defined standard of care.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This study was a retrospective review of children diagnosed with a primary CNS sarcoma and treated at 2 Canadian tertiary care centers between 1995 and 2012. This report focuses on patients with cerebral hemispheric tumor location due to their specific clinical presentation.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Fourteen patients with nonmetastatic primary CNS sarcoma were identified; in 9 patients, tumors were located in the cerebral hemisphere and 7 of these patients presented with intratumoral hemorrhage. One infant who died of progressive disease postoperatively before receiving any adjuvant therapy was not included in this study. The final cohort therefore included 8 patients (4 males). Median patient age at diagnosis was 11.8 years (range 5.8\u201317 years). All tumors were located in the right hemisphere. Duration of symptoms prior to diagnosis was very short with a median of 2 days (range 3\u20137 days), except for 1 patient. Three (37.5%) patients had an underlying diagnosis of neurofibromatosis Type 1 (NF1). Gross-total resection was achieved in 5 patients. The dose of focal radiation therapy (RT) ranged between 54 Gy and 60 Gy. Concomitant etoposide was administered during RT. ICE (ifosfamide, carboplatin, etoposide) chemotherapy was administered prior to and after RT for a total of 6\u20138 cycles. Seven of the 8 patients were alive at a median time of 4.9 years (range 1.9\u201317.9 years) after treatment.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>In this retrospective series, patients with primary CNS sarcomas located in the cerebral hemisphere most commonly presented with symptomatic acute intratumoral hemorrhage. Patients with NF1 were overrepresented. The combination of adjuvant ICE chemotherapy and focal RT provided encouraging outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.6.peds14709","type":"journal-article","created":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T14:59:23Z","timestamp":1448031563000},"page":"298-302","source":"Crossref","is-referenced-by-count":22,"title":["Successful treatment of primary intracranial sarcoma with the ICE chemotherapy regimen and focal radiation in children"],"prefix":"10.3171","volume":"17","author":[{"given":"Lucie","family":"Lafay-Cousin","sequence":"first","affiliation":[{"name":"Division of Pediatric Hematology, Oncology, and Bone Marrow Transplantation, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Lindzon","sequence":"additional","affiliation":[{"name":"Division of Paediatrics,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Division of 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