Question
After surgery for pediatric astrocytoma (WHO grade 2), there is still residual tumor in the thalamus and basal ganglia. The postoperative recovery is good, but there is still tremor in the left hand. Should one consider further surgery or chemotherapy?
Answer
For residual postoperative astrocytoma grade 2 in children, chemotherapy is the primary treatment option, which can effectively control tumor growth. The impact of chemotherapy on grade 2 pediatric astrocytoma is mainly evident in the short term, with possible side effects such as decreased white blood cells and platelets, but the likelihood of significant impact on the child’s quality of life is relatively low. It is recommended to consider chemotherapy to control tumor growth and prevent recurrence.