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Case Reports in Oncological Medicine
Volume 2014 (2014), Article ID 135435, 4 pages
http://dx.doi.org/10.1155/2014/135435
Case Report

Tackling a Recurrent Pinealoblastoma

1Department of Radiation Oncology, Kidwai Memorial Institute of Oncology (KMIO), Bangalore 560029, India
2Department of Radiology, KMIO, Bangalore 560029, India
3Department of Pathology, KMIO, Bangalore 560029, India
4Department of Anesthesiology, KMIO, Bangalore 560029, India

Received 10 February 2014; Revised 14 July 2014; Accepted 11 August 2014; Published 25 August 2014

Academic Editor: Francesca Micci

Copyright © 2014 Siddanna Palled et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pineoblastomas are rare, malignant, pineal region lesions that account for <0.1% of all intracranial tumors and can metastasize along the neuroaxis. Pineoblastomas are more common in children than in adults and adults account for <10% of patients. The management of pinealoblastoma is multimodality approach, surgery followed with radiation and chemotherapy. In view of aggressive nature few centres use high dose chemotherapy with autologus stem cell transplant in newly diagnosed cases but in recurrent setting the literature is very sparse. The present case represents the management of pinealoblastoma in the recurrent setting with reirradiation and adjuvant carmustine chemotherapy wherein the management guidelines are not definitive.