%0 Journal Article
%T Recurrent pilocytic astrocytoma after 5 years with anxiety and headache
%A Mazaher Ramezani
%A Shima Jalalvandi
%A Zahra Torkchin
%A Masoud Sadeghi
%J Clinical Cancer Investigation Journal
%@ 2278-0513
%D 2018
%V 7
%N 5
%R 10.4103/ccij.ccij_66_18
%P 184-186
%X 
Pilocytic astrocytomas (PAs) account for 25% of all pediatric brain tumors and commonly occur in the  first two decades of life. Recurrence and/or regrowth of residual tumors are not common and mostly occur within 4–5 years of the  first surgery. Herein, we reported a 16-year-old male adolescent with neurological symptoms and signs that pathologic specimens confirmed the diagnosis of PA. The patient underwent 27 sessions of radiotherapy without surgery. After 5 years, at the age of 21, the patient readmitted with anxiety and headache and the recurrence of the same tumor with the same grade. We suggest follow-up of the patient after initial treatment for at least 5 years with considering any neurological symptoms including behavioral changes.

%U https://ccij-online.org/article/recurrent-pilocytic-astrocytoma-after-5-years-with-anxiety-and-headache-760