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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analizan los factores pron&#243;sticos y supervivencia de 38 pacientes afectados de ependimomas intracraneales&#44; que fueron intervenidos quir&#250;rgicamente en el Hospital La Fe de Valencia durante el per&#237;odo 1969&#8211;1990&#46; La edad media fue de 12 a&#241;os &#40;rango&#44; 1&#8211;59 a&#241;os&#41;&#46; Se practic&#243; resecci&#243;n total de la lesi&#243;n en 17 pacientes&#44; subtotal en 20 y parcial en uno&#46; La histolog&#237;a tumoral fue revisada en cada caso y se agrup&#243; en ependimomas de bajo &#40;58&#37;&#41; y alto grado de malignidad &#40;42&#37;&#41;&#46; En 16 pacientes se administr&#243; radioterapia complementaria &#40;dosis media 4900 cGy&#41;&#46; El tiempo medio de seguimiento se aproxim&#243; a los 49 meses&#44; siendo la probabilidad de supervivencia a los 5 a&#241;os del 58&#37; tras excluir la mortalidad operatoria&#46; Los factores que se asociaron con una supervivencia m&#225;s favorable fueron&#58; extirpaci&#243;n radical&#44; histolog&#237;a de bajo grado&#44; radioterapia complementaria y ausencia de signos de invasi&#243;n de tronco o pares craneales&#46; Por el contrario&#44; la supervivencia fue menor en aquellos casos con signos de invasi&#243;n de tronco o pares craneales&#44; extirpaci&#243;n subtotal o parcial&#44; histolog&#237;a de alto grado y desestimaci&#243;n de radioterapia complementaria&#46; El grado histol&#243;gico de la neoplasia fue la &#250;nica variable con valor pron&#243;stico estad&#237;sticamente significativo &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The prognostic factors and survival data were analyzed for 38 patients with intracranial ependymoma treated surgically at the Hospital La Fe in Valencia during the years 1969 to 1990&#46; The median age was 12 years &#40;range&#44; 1&#8211;59 yr&#41;&#46; Gross total resection was performed in 17 patients&#44; subtotal in 20 and partial in only 1 case&#46; Tumor histology was reviewed individually and grouped into low grade &#40;58&#37;&#41; and high grade &#40;42&#37;&#41;&#46; Sixteen patients underwent radiotherapy &#40;median dose 4900 cGy&#41;&#46; With a median follow-up of 49 monts&#44; the actuarial survival rates at 5 years were 58&#37; after the exclusion of perioperative mortality&#46; Factors associated with an improved 5-year survival rate were&#58; total tumor removal&#44; low grade histology&#44; radiation therapy and absent brain-stem o cranial nerve signs in infratentorial cases&#46; The 5-year survival rate was lower when associated with presence of physical signs of parenchymal invasion or lower cranial nerve involvement in infratentorial tumors&#44; subtotal tumor removal&#44; high grade histology and no radiotherapy treatment&#46; The tumor&#39;s histological grade was the onIy prognostic variable with significant difference &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Piquer&#44; J&#46;&#59; Cabanes&#44; J&#46;&#59; Hem&#225;ndez&#44; M&#46;&#59; Riesgo&#44; P&#46;&#59; Ramos&#44; J&#46;A&#46;&#59; Botella&#44; C&#46;&#59; Navarro&#44; J&#46;&#59; Orozco&#44; M&#46;&#59; Alvarez Garijo&#44; J&#46;&#58; Factores pron&#243;sticos en la evoluci&#243;n de los ependimomas intracraneales&#46; Neurocirug&#237;a 1993&#59; 4&#58; 125&#8211;131&#46;</p>"
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Factores pronósticos en la evolución de los ependimomas intracraneales
J. Piquer, J. Cabanes, P. Riesgo, C. Botella, J. Navarro, M. Orozco, J. Alvarez Garijo
Hospital Universitario La Fe. Valencia
M. Hemández*, J.A. Ramos*
* Servicio de Neurocirugía; Servicio de Anatomía Patológica

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