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OS n=21 pts

PFS n=21 pts

1.00

0

0.00

0.20

0.40

0.60

0.80

1 2 3

4 5

6 7 8

Years

21 13 12 10 10 9

5

3 2

21 10 8 7

6 6

2

1 1

At risk

can be spared from radiation therapy with a good outcome

In children < 3 years:

French study BB-SFOP

(Dufour

et al

., Eur J Oncol 2006)

Single arm phase II study of

radiation-sparing

approach

in young children with newly

diagnosed HGG

neurosurgery + carboplatin/procarbazine,

cisplatin/etoposide and vincristine/

cyclophosphamide over a 16-month period

XRT only in case of recurrence or progression

Medium age

= 23 months

5-year OS

= 59%

5-year PFS

= 35%

Median f/u

= 5.2 years

Last f/u:

12/12 children alive (10 without XRT)