caa a22 4500 477140068 CHVBK 20180405111730.0 cr unu---uuuuu 170330e19971201xx s 000 0 eng 10.1007/BF01105895 doi (NATIONALLICENCE)springer-10.1007/BF01105895 Medulloblastoma: Survival and late recurrence after the Collins' risk period [Elektronische Daten] [Shunji Nishio, Takato Morioka, Iwao Takeshita, Masashi Fukui] Sixty-three patients with cerebellar medulloblastoma were treated between 1963 and 1992 at our institution. Among them, 10 patients have survived beyond the Collins' risk period. These included 6 males and 4 females who ranged in age from 6 months to 12 years at the time of diagnosis. A total removal of the tumor was achieved in 4 patients, while there was a subtotal removal in 3, and a partial removal in 3. Histologically, 6 tumors were classified as a classical type of medulloblastoma, and 4 were diagnosed as being a desmoplastic type. Postoperatively, 9 patients received craniospinal radiation therapy, and one received local radiation to the primary site. During the follow-up period of 3.9-25.4 years, 5 patients have been in continuous remission for from 14.2 to 25.4 years and are leading normal lives, 2 have survived for 18.1 and 18.5 years with mild to moderate neurological deficits, while the remaining 3 died after the Collins' risk period. Two out of these last 3 patients were under the age of one year at the time of onset, while the remaining one died after a second recurrence. We conclude that careful follow-up is needed for all long-term survivors even after the Collins' risk period, especially for those who were under the age of 1 year at onset and who failed in the initial treatments. Walter de Gruyter & Co., 1997 Collins' rule nationallicence medulloblastoma nationallicence recurrence nationallicence Nishio Shunji Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut Morioka Takato Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut Takeshita Iwao Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut Fukui Masashi Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut Neurosurgical Review Springer-Verlag 20/4(1997-12-01), 245-249 0344-5607 20:4<245 1997 20 10143 https://doi.org/10.1007/BF01105895 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01105895 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nishio Shunji Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut NATIONALLICENCE 700 1- Morioka Takato Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut NATIONALLICENCE 700 1- Takeshita Iwao Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut NATIONALLICENCE 700 1- Fukui Masashi Department of Neurosurgery Neurological Institute Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, 812-82, Hagashi-ku Fukuoka, Japan aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 20/4(1997-12-01), 245-249 0344-5607 20:4<245 1997 20 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer