Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Combined Irradiation and Chemotherapy Using Ifosfamide, Cisplatin, and Etoposide for Children with Medulloblastoma/Posterior Fossa Primitive Neuroectodermal Tumor —Results of a Pilot Study—
Yutaka SAWAMURAJun IKEDANobuaki ISHIITsutomu KATOMitsuhiro TADAHiroshi ABEHiroki SHIRATO
Author information
JOURNAL FREE ACCESS

1996 Volume 36 Issue 9 Pages 632-638

Details
Abstract

Ten children with newly diagnosed medulloblastoma/primitive neuroectodermal tumor of the posterior fossa were treated with total surgical resection, radiation therapy, and ICE chemotherapy regimen with ifosfamide (900 mg/m2, days 1-5), cisplatin (20 mg/m2, days 1-5), and etoposide (60 Mg/M2, days 1-5) every 4 weeks for eight cycles. Four children under 2 years old were at first treated with eight cycles of ICE chemotherapy, and then irradiated. The ICE regimen was well tolerated by all children, with no irreversible adverse effects. However, dose reductions during the eight cycles were inevitable mainly due to myelosuppression. Complete remissions were achieved in eight of 10 patients at 1 month after completion of the treatment. One child showed recurrence 21 months after complete remission. The disease-free survival rate was 70% with a mean observation period of 24 months after surgery. The ICE regimen is a useful treatment modality for children with medulloblastoma. Further study is warranted to clarify long-term outcome in a number of patients.

Content from these authors
© The Japan Neurosurgical Society
Previous article Next article
feedback
Top