Abstract
To analyze the comprehensive therapy and treatment results of medulloblastoma (MB) in
children. Methods: A total of 57 patients diagnosed with medulloblastoma from January 2014 to August 2017
were enrolled in this retrospective analysis among which 51 children had total resection and 6 children partial
resection during initial treatment. Following surgery, patients accepted three-dimensional radiotherapy (3DCRT)
and intensity-modulated radiation therapy (IMRT). During postoperative radiotherapy, patients underwent
concurrent chemoradiotherapy or radiotherapy alone after which patients were treated with 5 courses of
chemotherapy. The median follow-up period was 15 months. Results: Of all patients, the median survival length
was 29.12 months. The 6-month, 1-, 2-, and 3-year overall survival rate was 91.23%, 73.68%, 54.38%, and
40.35%, respectively. Univariate analysis showed that the overall survival rate of children with medulloblastoma
was affected by the range of surgical resection (P=0.005), tumor size (P=0.048), and concurrent chemotherapy
during postoperative radiotherapy (P=0.002). Multivariate analysis showed that the greater the tumor size, the
worse the prognosis (P=0.041) and that simultaneous chemotherapy during postoperative radiotherapy could
improve prognosis (P=0.002). Conclusion: Medulloblastoma in children is predominantly a high-grade tumor
with poor prognosis and can cause considerable damage to the children’s nervous system. The treatment
program should consist of comprehensive therapy combining surgical resection with chemotherapy and
radiotherapy and also chemotherapy during postoperative radiotherapy to improve patient survival rate.
Key words
medulloblastoma
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Comprehensive Treatment and Analysis of Medulloblastoma in Children[J]. Neural Injury and Functional Reconstruction. 2018, 13(11): 555-557
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