title: Atypical teratoid/rhabdoid tumors in adults: a case report and treatment-focused review.
abstract: Atypical teratoid/rhabdoid tumor is predominantly a childhood tumor and has only been rarely reported in adults; therefore, treatment regimens are often extrapolated from the pediatric experience. Typically, children are treated with craniospinal radiation therapy which is often followed by systemic chemotherapy. Employing pediatric regimens to treat this tumor in adult patients poses a particular risk for myelosuppression, as the prescribed doses in pediatric protocols exceed those tolerated by adults, and conventional craniospinal radiation can be associated with prolonged myelotoxicity and a depletion of the bone marrow reserve in vertebrae of adults. Here we present a case of a woman with a pineal region atypical teratoid/rhabdoid tumor, an unusual adult cancer presenting in an atypical location. This is followed by a review of the disease in adult patients with an emphasis on treatment and suggestions to minimize myelotoxicity.
  
  
  BACKGROUND
  Atypical rhabdoid tumor; AT/RT; Pineal tumor; Adult.
authors.affiliation: Division of Oncology and Hematology, University of Nebraska Medical Center, 987680 Nebraska Medical Center, Omaha NE 68198-7680, USA.
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Shonka
authors.forename: Terri S
authors.initials: TS
authors.lastname: Armstrong
authors.forename: Sujit S
authors.initials: SS
authors.lastname: Prabhu
authors.forename: Amanda
authors.initials: A
authors.lastname: Childress
authors.forename: Shauna
authors.initials: S
authors.lastname: Choi
authors.forename: Lauren A
authors.initials: LA
authors.lastname: Langford
authors.forename: Mark R
authors.initials: MR
authors.lastname: Gilbert