Topics:
Radiation Oncology • Pediatric Oncology
How do you approach isolated CNS recurrence in previously treated neuroblastoma?
Some emerging data of improved up front therapy shifting recurrence to CNS as sanctuary site, is focal RT approach (i.e. SRS) reasonable or is CSI a stronger consideration?
Answer from: Radiation Oncologist at Academic Institution
As with other pediatric cancers, the CNS can be a sanctuary site for relapse given the poor CNS penetration of many conventional therapeutics used in the front line setting. As such, there has been an increasing frequency of CNS failures which can occur as early as a year to as late as 5-10 years in...
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