Background: Papillary tumor of the pineal region (PTPR) is a rare neoplasm with only anecdotal data to guide the treatment. Results of treatment with surgery, radiation therapy, and chemotherapy have been reported to have varying degrees of success. Here we report a patient with a PTPR, who underwent subtotal resection, gamma knife stereotactic radiosurgery, and adjuvant temozolomide chemotherapy.
Case description: During 9 years of clinical and radiographic follow-up, the patient has had regression of residual tumor and remains asymptomatic.
Conclusion: When gross total resection of a PTPR is not possible, treatment with gamma knife stereotactic radiosurgery and temozolomide chemotherapy may provide long-term tumor control.
Keywords: Craniotomy; gamma knife; papillary tumor; pineal gland; radiosurgery; temozolomide.