Last spring, 6-year-old CeCe was on vacation when she told her parents, Mike and Mary, that her neck hurt. After the family returned home, her neck pain persisted — and she developed another concerning symptom.

“We noticed that she wasn’t using her right hand to hold utensils when she ate,” remembers Mike.

A trip to urgent care soon led to the emergency department at their local children’s hospital. There, neurological and MRI testing suggested that something serious might be responsible.

“The neurosurgeon shared the images with us and said they showed what he thought was a high-grade type of spinal cord tumor called a glioma,” says Mary.

A frightening diagnosis

Mike and Mary knew that their daughter would need to undergo surgery, both to remove the tumor and to biopsy it, which would confirm the diagnosis. The potential risks of surgery made them nervous — but so did leaving the tumor there, which could ultimately cause her symptoms to worsen. They knew they needed to learn more about their options.

“We were warned that CeCe would likely never walk again and might not be able to use her hands,” says Mary.

Through their research, they learned that many surgeons wouldn’t even attempt this type of surgery because of the risks, leading families to believe these spinal cord tumors are inoperable.

Fortunately, a family friend who is a physician at Boston Children’s Hospital recommended the family reach out to Dr. Katie Fehnel, a neurosurgeon and director of the hospital’s Spinal Cord Tumor Program.

“We contacted her on a Friday and by the next day she had reviewed CeCe’s case and spoke with us about a plan,” says Mike. “She told us that she’d treated a lot of these tumors and that we shouldn’t jump to conclusions based on the imaging. That was the first time we had hope.”

Successful spinal cord tumor surgery

Although Mike and Mary were happy with their local hospital, they knew that Dr. Fehnel’s experience made traveling for CeCe’s surgery the right decision. Within a week, they were in Boston for the seven-hour operation. The procedure was a success: Dr. Fehnel was able to remove most of the tumor, and CeCe was walking again days later. What’s more, it was a low-grade pilocytic astrocytoma, a less-aggressive type of glioma.

However, genetic testing on the tumor revealed a rare FGFR mutation. Because tumors with this mutation are more likely to grow back, the family opted for a second surgery to remove the rest of the astrocytoma a few months later. Once again, the procedure was successful and CeCe recovered quickly.

When the stars aligned

Back at home, this “kind and spunky” first grader is thriving as she makes her way through several rounds of chemotherapy to help prevent a recurrence. She’s also regained the use of her right hand and has no neurologic impairments. CeCe loves hanging out with her younger sister, Maddy, and might have a future in medicine: She uses a play hospital setup to care for her stuffed animals.

“We were just parents searching for an answer,” says Mary. “We’re so grateful that the stars aligned for CeCe.”

Refer a patient: international.childrenshospital.org / international@childrens.harvard.edu
https://www.childrenshospital.org/international