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Infant Medulloblastoma

- Management problematic

- Most protocols involve avoidance (or 1-2 yrs post-

poning) of routine CSRT

- Most protocols have accepted impaired outcome and

need for RT as salvage, when treatment is more

difficult

- Lack of data on long-term quality of life outcome

So far it has been feasible to deliver reduced dose CSRT for high risk MB in

infants, but toxicity of full dose (35-36 Gy) CSRT is problematic