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A9961: Standard-Risk Medulloblastoma

2340 cGy CSI + posterior fossa boost

to total dose of 5580 cGy

Compared two different chemotherapy

Regimen: CCNU, CDDP, VCR vs.

CDDP, VCR, CPM

5-year EFS is 81%

No EFS or overall survival difference

Infection more common with CPM

Electrolyte abnormality more common

with CCNU

Packer RJ et al. J Clin Oncol 2006; 24:4202-8