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Needle-track metastasis in diffuse intrinsic pontine glioma: Need for a standardized surgical strategy?

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Title: Needle-track metastasis in diffuse intrinsic pontine glioma: Need for a standardized surgical strategy?
Authors: Nussbaumer G; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria., Nigro O; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy., Barnbrock A; Department of Pediatrics, Goethe-University Frankfurt, Frankfurt, Germany., Benesch M; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria., Biassoni V; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy., Bock HC; Division of Pediatric Neurosurgery, Department of Neurosurgery, University Medical Center Göttingen, Goettingen, Germany., Carai A; Neurosurgery Unit, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy., Cavallo A; S.C. Fisica Sanitaria, Medical Physics Unit, Department of Diagnostic Imaging and Radiotherapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Chiesa S; UOC di Radioterapia Oncologica, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy., Giandini T; S.C. Fisica Sanitaria, Medical Physics Unit, Department of Diagnostic Imaging and Radiotherapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Colafati GS; Oncological Neuroradiology and Advanced Diagnostics Unit, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy., De Martino L; U.O.S.D. Neurooncologia, Ospedale Santobono-A.O.R.N. Santobono-Pausilipon, Napoli, Italy., Demmert M; Department of Pediatric and Adolescent Medicine, Pediatric Hematology and Oncology, University Hospital Schleswig Holstein, Lübeck, Germany., di Ruscio V; Neuro-Oncology Unit, Hematology/Oncology, Cell Therapy, Gene Therapies and Hematopoietic Transplant, IRCCS Bambino Gesù Children's Hospital, Rome, Italy., Franke JM; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany., Friker LL; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany.; Institute of Experimental Oncology, University Hospital Bonn, Bonn, Germany.; Brain Tumor Translational Research Group, University Hospital Bonn, Bonn, Germany., Gielen GH; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany., Hoffmann M; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany., Jablonska K; Department of Radiation Oncology, CyberKnife and Radiation Therapy, Centre for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany., Karow A; Pediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany., Karremann M; Department of Pediatric and Adolescent Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Kerl K; Department of Pediatric Hematology and Oncology, University Children's Hospital Muenster, Muenster, Germany., Knerlich-Lukoschus F; Division of Pediatric Neurosurgery, Department of Neurosurgery, University Medical Center Göttingen, Goettingen, Germany., Kramm CM; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany., Krause M; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.; Partner Site Dresden and German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany.; OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technical University Dresden, Helmholtz-Centre, Dresden, Germany.; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.; National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.; University Hospital and Faculty of Medicine C.G. Carus Dresden, Dresden, Germany.; DKFZ Heidelberg, Heidelberg, Germany., Makocki S; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany., Mastronuzzi A; Neuro-Oncology Unit, Hematology/Oncology, Cell Therapy, Gene Therapies and Hematopoietic Transplant, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.; Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy., Massimino M; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy., Morales La Madrid A; Pediatric Neuro-Oncology Unit, Pediatric Cancer Center Barcelona, Hospital Sant Joan de Deu, Barcelona, Spain., Pecori E; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Perwein T; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria., Pietsch T; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany., Rades D; Department of Radiation Oncology, University of Luebeck, Luebeck, Germany., Rödel C; Department of Radiotherapy, University of Frankfurt, Frankfurt, Germany., Santa-Maria Lopez V; Pediatric Neuro-Oncology Unit, Pediatric Cancer Center Barcelona, Hospital Sant Joan de Deu, Barcelona, Spain., Schiavello E; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy., Schwarz R; Department for Radiotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Scobioala S; Department of Radiation Oncology, Münster University Hospital, Münster, Germany., Simon T; Department of Pediatric Hematology and Oncology, University of Cologne, Cologne, Germany., Spille DC; Department of Neurosurgery, University Hospital Münster, Münster, Germany., Thomale UW; Pediatric Neurosurgery, Charité-Universitätsmedizin Berlin, Berlin, Germany., Trovò A; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Vennarini S; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., von Bueren AO; Department of Pediatrics, Gynecology and Obstetrics, Division of Pediatric Hematology and Oncology, University Hospital of Geneva, Geneva, Switzerland.; Cansearch Research Platform for Pediatric Oncology and Hematology, Faculty of Medicine, Department of Pediatrics, Gynecology and Obstetrics, University of Geneva, Geneva, Switzerland., Bison B; Diagnostic and Interventional Neuroradiology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.; Neuroradiological Reference Center for the Pediatric Brain Tumor (HIT), Studies of the German Society of Pediatric Oncology and Hematology, University Hospital Augsburg, Augsburg, Germany., Valentini C; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.; National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.; University Hospital and Faculty of Medicine C.G. Carus Dresden, Dresden, Germany.; DKFZ Heidelberg, Heidelberg, Germany.
Source: Neuro-oncology advances [Neurooncol Adv] 2026 Jun 08; Vol. 8 (1), pp. vdag155. Date of Electronic Publication: 2026 Jun 08 (Print Publication: 2026).
Publication Type: Journal Article
Journal Info: Publisher: Oxford University Press Country of Publication: England NLM ID: 101755003 Publication Model: eCollection Cited Medium: Internet ISSN: 2632-2498 (Electronic) Linking ISSN: 26322498 NLM ISO Abbreviation: Neurooncol Adv Subsets: PubMed not MEDLINE
Database: MEDLINE Ultimate
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PubType: Academic Journal
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  Data: Needle-track metastasis in diffuse intrinsic pontine glioma: Need for a standardized surgical strategy?
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  Data: <searchLink fieldCode="AU" term="%22Nussbaumer+G%22">Nussbaumer G</searchLink>; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.<br /><searchLink fieldCode="AU" term="%22Nigro+O%22">Nigro O</searchLink>; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.<br /><searchLink fieldCode="AU" term="%22Barnbrock+A%22">Barnbrock A</searchLink>; Department of Pediatrics, Goethe-University Frankfurt, Frankfurt, Germany.<br /><searchLink fieldCode="AU" term="%22Benesch+M%22">Benesch M</searchLink>; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.<br /><searchLink fieldCode="AU" term="%22Biassoni+V%22">Biassoni V</searchLink>; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.<br /><searchLink fieldCode="AU" term="%22Bock+HC%22">Bock HC</searchLink>; Division of Pediatric Neurosurgery, Department of Neurosurgery, University Medical Center Göttingen, Goettingen, Germany.<br /><searchLink fieldCode="AU" term="%22Carai+A%22">Carai A</searchLink>; Neurosurgery Unit, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Cavallo+A%22">Cavallo A</searchLink>; S.C. Fisica Sanitaria, Medical Physics Unit, Department of Diagnostic Imaging and Radiotherapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.<br /><searchLink fieldCode="AU" term="%22Chiesa+S%22">Chiesa S</searchLink>; UOC di Radioterapia Oncologica, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Giandini+T%22">Giandini T</searchLink>; S.C. Fisica Sanitaria, Medical Physics Unit, Department of Diagnostic Imaging and Radiotherapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.<br /><searchLink fieldCode="AU" term="%22Colafati+GS%22">Colafati GS</searchLink>; Oncological Neuroradiology and Advanced Diagnostics Unit, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.<br /><searchLink fieldCode="AU" term="%22De+Martino+L%22">De Martino L</searchLink>; U.O.S.D. Neurooncologia, Ospedale Santobono-A.O.R.N. Santobono-Pausilipon, Napoli, Italy.<br /><searchLink fieldCode="AU" term="%22Demmert+M%22">Demmert M</searchLink>; Department of Pediatric and Adolescent Medicine, Pediatric Hematology and Oncology, University Hospital Schleswig Holstein, Lübeck, Germany.<br /><searchLink fieldCode="AU" term="%22di+Ruscio+V%22">di Ruscio V</searchLink>; Neuro-Oncology Unit, Hematology/Oncology, Cell Therapy, Gene Therapies and Hematopoietic Transplant, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Franke+JM%22">Franke JM</searchLink>; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.<br /><searchLink fieldCode="AU" term="%22Friker+LL%22">Friker LL</searchLink>; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany.; Institute of Experimental Oncology, University Hospital Bonn, Bonn, Germany.; Brain Tumor Translational Research Group, University Hospital Bonn, Bonn, Germany.<br /><searchLink fieldCode="AU" term="%22Gielen+GH%22">Gielen GH</searchLink>; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany.<br /><searchLink fieldCode="AU" term="%22Hoffmann+M%22">Hoffmann M</searchLink>; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.<br /><searchLink fieldCode="AU" term="%22Jablonska+K%22">Jablonska K</searchLink>; Department of Radiation Oncology, CyberKnife and Radiation Therapy, Centre for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Karow+A%22">Karow A</searchLink>; Pediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.<br /><searchLink fieldCode="AU" term="%22Karremann+M%22">Karremann M</searchLink>; Department of Pediatric and Adolescent Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.<br /><searchLink fieldCode="AU" term="%22Kerl+K%22">Kerl K</searchLink>; Department of Pediatric Hematology and Oncology, University Children's Hospital Muenster, Muenster, Germany.<br /><searchLink fieldCode="AU" term="%22Knerlich-Lukoschus+F%22">Knerlich-Lukoschus F</searchLink>; Division of Pediatric Neurosurgery, Department of Neurosurgery, University Medical Center Göttingen, Goettingen, Germany.<br /><searchLink fieldCode="AU" term="%22Kramm+CM%22">Kramm CM</searchLink>; Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.<br /><searchLink fieldCode="AU" term="%22Krause+M%22">Krause M</searchLink>; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.; Partner Site Dresden and German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany.; OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technical University Dresden, Helmholtz-Centre, Dresden, Germany.; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.; National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.; University Hospital and Faculty of Medicine C.G. Carus Dresden, Dresden, Germany.; DKFZ Heidelberg, Heidelberg, Germany.<br /><searchLink fieldCode="AU" term="%22Makocki+S%22">Makocki S</searchLink>; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.<br /><searchLink fieldCode="AU" term="%22Mastronuzzi+A%22">Mastronuzzi A</searchLink>; Neuro-Oncology Unit, Hematology/Oncology, Cell Therapy, Gene Therapies and Hematopoietic Transplant, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.; Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Massimino+M%22">Massimino M</searchLink>; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.<br /><searchLink fieldCode="AU" term="%22Morales+La+Madrid+A%22">Morales La Madrid A</searchLink>; Pediatric Neuro-Oncology Unit, Pediatric Cancer Center Barcelona, Hospital Sant Joan de Deu, Barcelona, Spain.<br /><searchLink fieldCode="AU" term="%22Pecori+E%22">Pecori E</searchLink>; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.<br /><searchLink fieldCode="AU" term="%22Perwein+T%22">Perwein T</searchLink>; Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.<br /><searchLink fieldCode="AU" term="%22Pietsch+T%22">Pietsch T</searchLink>; Institute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn Medical Center, Bonn, Germany.<br /><searchLink fieldCode="AU" term="%22Rades+D%22">Rades D</searchLink>; Department of Radiation Oncology, University of Luebeck, Luebeck, Germany.<br /><searchLink fieldCode="AU" term="%22Rödel+C%22">Rödel C</searchLink>; Department of Radiotherapy, University of Frankfurt, Frankfurt, Germany.<br /><searchLink fieldCode="AU" term="%22Santa-Maria+Lopez+V%22">Santa-Maria Lopez V</searchLink>; Pediatric Neuro-Oncology Unit, Pediatric Cancer Center Barcelona, Hospital Sant Joan de Deu, Barcelona, Spain.<br /><searchLink fieldCode="AU" term="%22Schiavello+E%22">Schiavello E</searchLink>; Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.<br /><searchLink fieldCode="AU" term="%22Schwarz+R%22">Schwarz R</searchLink>; Department for Radiotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Scobioala+S%22">Scobioala S</searchLink>; Department of Radiation Oncology, Münster University Hospital, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Simon+T%22">Simon T</searchLink>; Department of Pediatric Hematology and Oncology, University of Cologne, Cologne, Germany.<br /><searchLink fieldCode="AU" term="%22Spille+DC%22">Spille DC</searchLink>; Department of Neurosurgery, University Hospital Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Thomale+UW%22">Thomale UW</searchLink>; Pediatric Neurosurgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Trovò+A%22">Trovò A</searchLink>; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.<br /><searchLink fieldCode="AU" term="%22Vennarini+S%22">Vennarini S</searchLink>; Pediatric Radiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.<br /><searchLink fieldCode="AU" term="%22von+Bueren+AO%22">von Bueren AO</searchLink>; Department of Pediatrics, Gynecology and Obstetrics, Division of Pediatric Hematology and Oncology, University Hospital of Geneva, Geneva, Switzerland.; Cansearch Research Platform for Pediatric Oncology and Hematology, Faculty of Medicine, Department of Pediatrics, Gynecology and Obstetrics, University of Geneva, Geneva, Switzerland.<br /><searchLink fieldCode="AU" term="%22Bison+B%22">Bison B</searchLink>; Diagnostic and Interventional Neuroradiology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.; Neuroradiological Reference Center for the Pediatric Brain Tumor (HIT), Studies of the German Society of Pediatric Oncology and Hematology, University Hospital Augsburg, Augsburg, Germany.<br /><searchLink fieldCode="AU" term="%22Valentini+C%22">Valentini C</searchLink>; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.; National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.; University Hospital and Faculty of Medicine C.G. Carus Dresden, Dresden, Germany.; DKFZ Heidelberg, Heidelberg, Germany.
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          Dates:
            – D: 08
              M: 06
              Text: 2026 Jun 08
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 2632-2498
          Numbering:
            – Type: volume
              Value: 8
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Neuro-oncology advances
              Type: main
ResultId 1