How do you treat a primary pineal neoplasm of intermediate differentiation?

Pineal parenchymal tumors of intermediate differentiation (PPTID) represent a rare type of intracranial tumor that behaves somewhere between pineocytomas and pineoblastomas. Given the rarity of PPTID, data is limited to retrospective studies with no clear consensus on adjuvant therapy. In general, a...

I completely agree with Dr. @Dr. First Last in that a multi-disciplinary discussion is critical when it comes to managing PPTID and given lack of prospective data there is no consensus (and probably there will never be given the rarity of this disease).

Incidentally, in the past 3 months, our clinic ...