title: Tackling a recurrent pinealoblastoma.
abstract: Pineoblastomas are rare, malignant, pineal region lesions that account for <0.1% of all intracranial tumors and can metastasize along the neuroaxis. Pineoblastomas are more common in children than in adults and adults account for <10% of patients. The management of pinealoblastoma is multimodality approach, surgery followed with radiation and chemotherapy. In view of aggressive nature few centres use high dose chemotherapy with autologus stem cell transplant in newly diagnosed cases but in recurrent setting the literature is very sparse. The present case represents the management of pinealoblastoma in the recurrent setting with reirradiation and adjuvant carmustine chemotherapy wherein the management guidelines are not definitive.
authors.affiliation: Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India.
authors.forename: Siddanna
authors.initials: S
authors.lastname: Palled
authors.affiliation: Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India.
authors.forename: Sruthi
authors.initials: S
authors.lastname: Kalavagunta
authors.affiliation: Department of Radiology, KMIO, Bangalore 560029, India.
authors.forename: Jaipal
authors.initials: J
authors.lastname: Beerappa Gowda
authors.affiliation: Department of Pathology, KMIO, Bangalore 560029, India.
authors.forename: Kavita
authors.initials: K
authors.lastname: Umesh
authors.affiliation: Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India.
authors.forename: Mahalaxmi
authors.initials: M
authors.lastname: Aal
authors.affiliation: Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India.
authors.forename: Tanvir Pasha Chitraduraga
authors.initials: TP
authors.lastname: Abdul Razack
authors.affiliation: Department of Anesthesiology, KMIO, Bangalore 560029, India.
authors.forename: Veerabhadre
authors.initials: V
authors.lastname: Gowda
authors.affiliation: Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India.
authors.forename: Lokesh
authors.initials: L
authors.lastname: Viswanath