Brain 17 Vienna

Medulloblastoma

• Resection of PF tumor

• Start with Chemotherapy

• intrathekal Chemotherapy

• Radiotherapy - CSI

• Proton therapy

• Less toxicity to vertebral bone marrow if in adolescents that have reached the final height the vertebral bodies can be spared from irradiation resulting in better tolerance of the chemotherapy (subsequent chemotherapy !)

• Less longterm toxicity on cervical/thoracic/abdominal organs

ESTRO School, Vienna, October 22nd, 2017

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