Pineoblastoma in children is a rare tumor of the central nervous system, with limited knowledge regarding its clinical features and outcomes. The optimal therapeutic strategy for pediatric pineoblastoma remains uncertain. This case presents an 11-year-old girl diagnosed with pineoblastoma. Due to potential impacts on quality of life and the available technical resources, tumor resection was not performed. Instead, the patient was treated exclusively with radiotherapy and remained free of recurrence for 36 months post-treatment. This case underscores a minimally invasive approach to managing rare pineal tumors located near critical structures, demonstrating favorable responses and excellent neurological outcomes. Additionally, the radiographic and histopathological characteristics of pineoblastomas are reviewed, alongside a discussion of the various treatment options documented in the literature.
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