Radiation-Induced Meningioma in a Case of Medulloblastoma Treated 11 Years Ago-Detected on 68Ga-DOTANOC PET/CT.

Dev, Indraja D; Puranik, Ameya D; Rangarajan, Venkatesh; Gupta, Tejpal; Purandare, Nilendu C; Agrawal, Archi; Shah, Sneha · Clin Nucl Med · 2022

case_report · Level V

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Abstract

Medulloblastomas, especially the sonic hedgehog subgroup, are treated aggressively with surgery and chemoradiotherapy, as they are associated with high local site recurrence rate and poor overall survival. Radiation-induced meningioma is the most common delayed complication of craniospinal irradiation. This needs to be differentiated from meningeal or ependymal metastases as the later need aggressive management. We report one such rare case, in a patient who completed treatment for medulloblastoma 11 years ago, was in remission, and now presented with dural-based lesions.

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