Adjuvant hypofractionated partial-brain radiation therapy for pediatric Ewing sarcoma brain metastases: case report

Author:

van Dams Ritchell1,Park Henry S.1,Alomari Ahmed K.2,Ricciardi Adele S.3,Rao Harini4,McNamara Joseph4,DiLuna Michael L.34,Bindra Ranjit S.12

Affiliation:

1. Departments of Therapeutic Radiology,

2. Pathology,

3. Neurosurgery, Section of Pediatric Neurosurgery, and

4. Pediatrics, Section of Pediatric Hematology and Oncology, Yale School of Medicine, New Haven, Connecticut

Abstract

This case report demonstrates that hypofractionated partial-brain radiation therapy with limited margins is a reasonable approach following gross tumor resection of Ewing sarcoma metastases to the brain. The patient presented with 2 intracranial metastases treated with gross-total resection followed by radiation therapy to 30 Gy in 5 fractions. The patient experienced symptomatic treatment-related inflammatory changes with resolution after receiving dexamethasone. He remains alive at 21 months of follow-up with no evidence of disease.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

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