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Radiotherapy Volume

French M4 Protocol delivered 2 course of

“8 in 1” chemotherapy followed by 2 courses of

high-dose methotrexate after surgery

RT was given only to the posterior fossa and spine

Of 16 children, only 3 (18%) were disease-free and

alive at mean follow-up of 6 years

Most common site of relapse was supratentorial

(9/13 cases)

Bouffet E et al. Int J Radiat Oncol Biol Phys 1992; 24:79-85