The role of stereotactic radiotherapy in the management of ependymomas.

INTRODUCTION

Intracranial ependymomas in children have high rates of recurrence. Salvage therapy typically includes repeat resection, possibly chemotherapy, and re-irradiation. Stereotactic radiosurgery has been used for re-irradiation. It offers the theoretical advantages of delivering a high dose of radiation to a small target, providing a maximum dose to the tumor while avoiding surrounding critical brain structures and previously irradiated tissue.

DISCUSSION

Few reports in the literature describe this technique, with mixed, but not often successful, outcomes.