Patient history and diagnosis:
A two-year-old female patient was diagnosed with medulloblastoma in 1986 at which time she was treated with a total CNS irradiation to 35Gy and a boost to the posterior fossa to a total dose of 55Gy.
In 2005 the same patient presented with a malignant nerve sheath tumor at the level of thoracic vertebrae 9/10 – probably a secondary cancer 19 years after total CNS irradiation. The patient received surgery and the tumor was partially resected.
Dr. Michael Flentje
PD Dr. Dirk Vordermark, Dr. Matthias Guckenberger
Dr. Jürgen Wilbert, Dr. Jürgen Meyer, Kurt Baier, Anne Richter, Dr. Otto A. Sauer, Dr. Klaus Bratengeier