Are we over treating XXXX ? Assessing the role of localised radiation therapy and literature review.

@entity1 @entity979 @entity75 @entity5 @entity149 @entity395 @entity62
@entity979 ( @entity979 ) is a @entity395 , first classified by World Health Organisation in 2000. There are very few published data available and optimal management is yet to be determined. Management has varied from surgery alone to craniospinal radiotherapy with or without chemotherapy. We present our experience of @entity979 treated with radiotherapy alone. We conducted a retrospective review of @entity1 who were diagnosed with @entity979 and treated with radiation therapy at our institute from 2010 onwards. Between January 2010 to January 2013, 5 @entity1 of @entity979 were treated at our institute. Median age is 44 (range 24-62). All @entity1 had preoperative MRI scan of brain and spine. Imaging did not identify any spinal dissemination. None of the @entity1 underwent a gross total resection, due to the @entity5 location and technical difficulties. All @entity1 were treated with external beam radiation therapy to @entity75 only with a dose of 54  Gy in 30 fractions after surgery. 4 @entity1 had good partial response and the remaining 1 has stable disease. After 21.4  months of median follow up no disease recurrence was reported. So far there is no evidence of cerebral @entity62 on MRI scan or @entity149 . Our experience indicated that localised radiation therapy could be an effective treatment strategy for @entity979 , considering the long natural course of the disease and the late adverse effects of intensive treatment.
