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Diffuse Intrinsic Pontine Glioma (DIPG)

What is DIPG?

DIPG stands for diffuse intrinsic pontine glioma. It is a type of high-grade glioma, a brain tumor that comes from cells called glia that surround, protect, and support nerve cells in the brain.

DIPG is always found in the brainstem. This part of the brain controls basic functions like breathing and swallowing, as well as muscles that help with speech and eye movements.

It is most common in elementary school-aged children, but it can affect children of any age.

About 250 kids in the U.S. are diagnosed with DIPG each year.

Symptoms

The most common symptoms are:

  • trouble with eye or facial movements
    (often resulting in a lazy eye or facial droop)
  • difficulty with movement on one side of the body
  • problems speaking

It’s important to know, though, that there are much more common reasons for all these symptoms than DIPG.

Diagnosis

DIPG tends to grow quickly, so most patients are diagnosed within three months of their first symptoms. DIPG is diagnosed primarily with an MRI.

Sometimes diagnosis will also involve removing a piece of the tumor, so it can be studied under a microscope. This is known as a biopsy. Biopsies help researchers learn about DIPG and can help determine what medicines might help treat that individual child’s tumor.

Treatment Options

Unfortunately, treatment options for DIPG are currently very limited. The tumors can’t be removed surgically, because the cancer cells are mixed with normal cells that are crucial for functions like breathing.

Radiation is the only therapy that has been proven to shrink these tumors and let kids with DIPG live longer. But radiation can’t make the tumor go away permanently.

Researchers have tried many chemotherapies for DIPG, but so far, none of them has worked.

The lack of treatment options and the fact that almost all DIPG patients die within two years of diagnosis make DIPG research an important and immediate need.

Research Helping Kids

Historically, one of the barriers to DIPG research has been a lack of tumor tissue. But with more patients undergoing biopsies, and with courageous families donating their children’s tumors to research after their death, researchers have been able to make some encouraging discoveries and are optimistic about having more effective treatments within the next couple of years.

Honored Kids

Emma F.

Picture of Emma F.

Emma F.

Waconia, MN US
Diagnosed October 2008
Angel
Children's Hospitals and Clinics of Minnesota
Just before Christmas 2008, Emma began noticing that her right eye wasn't keeping up with the left, and occasionally noticed double vision. She was taken to the eye doctor, and was then referred to an ophthalmologist, who did a variety of te...

Randy Palya

Picture of Randy Palya

Randy Palya

Spring Grove, IL US
Diagnosed January 2003
Angel
Randy's love for life and undying spirit have touched the lives of all who knew him. His strength, courage and faith have been an inspiration to his friends, family and community. Randy passed away at the age of 9 after a difficult and cour...

Robert Nagg

Picture of Robert Nagg

Robert Nagg

Doylestown, PA US
Diagnosed April 2011
Passed away
The Children's Hospital of Philadelphia
On Thursday, April 28, 2011, our 15 year-old son Robert was diagnosed with a malignant brain tumor at the Children’s Hospital of Philadelphia (CHOP). As we pulled out of the hospital parking garage, Robert asked from the back seat “Will I di...
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