PURPOSE To investigate the long-term effects of vertebral-body-sparing proton craniospinal irradiation (CSI) on the spine of young patients with medulloblastoma. METHODS AND MATERIALS Six children between the ages of 3 and 5 years with medulloblastoma were treated with vertebral-body-sparing proton CSI after maximal safe resection. Radiation therapy was delivered in the supine position with p...

Medulloblastoma (MB) is the most frequent malignant brain tumor in children. Treatment of MB based on histopathological and molecular stratification, includes surgical intervention, often with craniospinal irradiation adjuvant chemotherapy. Unfortunately, however, this treatment leads to a high morbidity rate, it does not cure all patients either, around 30% succumbing their disease. With impro...

Pilocytic astrocytoma (PA) is a low grade benign tumor, commonly occurs in Cerebellum (42-60%), Optic & hypothalamic region (9-30%), Brain Stem (9%). They rarely spread. It within the ventricle. In this report, we described our experience with cranial pilocytic 14-year-old child, who initially treated near total decompression of tumor. Four and half years later, recurrence primary tumor obs...

Helical Tomotherapy (HT) is a highly conformal image-guided radiation technique, introduced into clinical routine in 2006 at the Centro di Riferimento Oncologico Aviano (Italy). With this new technology, intensity-modulated radiotherapy (IMRT) is delivered using a helicoidal method. Here we present our dosimetric experiences using HT in 100 children, adolescents and young adults treated from Ma...

BACKGROUND Central neurocytoma is an uncommon benign tumor of the central nervous system. A section of these tumors have unusual aggressiveness and are termed as "atypical central neurocytomas," the definition of which is debated. Many studies in the available literature define them as tumors with elevated MIB-1 labeling index (MIB-1 LI) >2%, while some associate them with higher values of MIB-...