Craniospinal radiotherapy for medulloblastoma in a man with severe kyphoscoliosis.
Medulloblastoma is an uncommon tumour in the adult population. Maximum surgical resection followed by craniospinal irradiation with a posterior fossa boost is the standard treatment. We report the case history of an adult with medulloblastoma and severe kyphoscoliosis. The unusual anatomy of the patient posed a technical challenge to the oncologist and the physicist in planning the craniospinal radiotherapy. A shaped spinal field matched to a parallel opposed pair of shaped head fields was used. The technique used in treating this patient was made possible with the use of a multileaf collimation and verification with an electronic portal imaging device. The patient remains well with no sign of relapse 4 years after treatment.
Yap
B K
BK
Department of Clinical Oncology, Christie Hospital, Wilmslow Road, Manchester M20 4BX, UK.
Magee
B
B
Vollans
S E
SE
D002528:Cerebellar Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000532:radiotherapy*; D006801:Humans; D007738:Kyphosis / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008527:Medulloblastoma / Q000150:complications / Q000000981:diagnostic imaging / Q000532:radiotherapy*; D008875:Middle Aged; D011859:Radiography