Abstract
At the Centre de Protontherapie d’Orsay, nine children with intra-cranial malignancies were treated between July 1994 and January 1998. Immediate and late tolerances were excellent in all cases (follow-up 2 to 50 months). Two patients recurred locally (marginal failures), seven are alive and doing well.
At Loma Linda, 28 children were treated between 1991 and 1994, 16 for a benign tumor of the brain and twelve for a malignant one. With a follow-up of seven to 49 months, three patients died (grade 2 to 4 gliomas), one is living with a persistant disease. Four children had treatment — related toxicity (one cataract, two hormonal failures and two seizures). The other children are doing well.
At MGH Boston, 18 children with skull base-cervical spine chordomas have been reported. At five years, actuarial survival and disease-free survival have been 68 and 63%, respectively. Children with cervical sites had a worse prognosis (p=0.008). Four children had radiaton-related morbidity: two pituitary failures, one temporal lobe necrosis, one temporal muscle fibrosis. In this experience, such rare tumors seemed to behave in children like in adults.
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References
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Habrand, JL., Mammar, H., Ferrand, R. et al. Proton beam therapy (PT) in the management of CNS tumors in childhood. Strahlenther Onkol 175 (Suppl 2), 91–94 (1999). https://doi.org/10.1007/BF03038901
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DOI: https://doi.org/10.1007/BF03038901