What is your dose and target for a H3K27M mutant diffuse midline glioma in a young adult following maximal safe resection?
Do you routinely cover the surgical tracts?
2 Answers
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Radiation Oncology · Florida International University
Answered on
It is important to recognize, that while most H3K27M mutant midline gliomas in young adults are high grade (GBM equivalent), some are actually histologic, more benign tumors (although they tend to occur in other locations). Therefore, a correct histological diagnosis is still necessary. My preferenc...
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Radiation Oncology · The Christie Hospital
Answered on
Have treated a couple of these recently, and the only thing they responded to was radiation.
In one patient, I gave only 54 Gy as it was in the middle of the brainstem and they tried every systemic therapy without success, before having another brief response to reirradiation (only to 36Gy), while ...
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