Follow-up After Surgery for Pineal Region Tumors in Children

Frequency of Office Visits

  • Immediate postoperative visit: Patients are seen 2 weeks postoperatively. 
  • Subsequent follow-up: Children with tumors in the pineal region are monitored at regular intervals after initial management.  After the acute postoperative period, patients are seen in follow-up at 3-month intervals for the first year, followed by 6-month intervals for 2 years, and then annually. Depending on the histological diagnosis, serial tumor markers may also be monitored. Appointments should also be made with the neurooncologist for adjuvant therapy and management, as well as continued physical and occupational therapy when applicable.

Frequency of Imaging

  • Imaging at each visit: Follow-up MRI of the brain with and without gadolinium enhancement is obtained at each appointment. 

Other Investigations Required

  • Tumor markers: Depending on the histological diagnosis, serial serum and/or CSF tumor markers may also be monitored.