Brain Tumors Across the Age Spectrum: Biology, Therapy, and Late Effects

Semin Radiat Oncol. 2010 Jan;20(1):58-66, Thomas E. Merchant, Ian F. Pollack, Jay S. Loeffler

Abstract

Abstract

The clinical difference between brain tumors in adults and children is striking. Compared with adults, pediatric tumor types (mostly glial and neuronal) are more sensitive to adjuvant irradiation and chemotherapy. Pediatric tumors more often require craniospinal irradiation based on their propensity to disseminate within the neuraxis. The spectrum of side effects is broader in the child based on age and extent of treatment: radiation therapy brings increased risk of severe long-term sequelae affecting...

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