PMID- 15341435 OWN - NLM STAT- MEDLINE DCOM- 20041202 LR - 20190917 IS - 0936-6555 (Print) IS - 0936-6555 (Linking) VI - 16 IP - 5 DP - 2004 Aug TI - First spinal axis segment irradiation with spot-scanning proton beam delivered in the treatment of a lumbar primitive neuroectodermal tumour. Case report and review of the literature. PG - 326-31 AB - Primary intraspinal primitive neuroectodermal tumour (PNET) is a rare tumour entity. The optimal therapeutic management is unclear but, in general, this tumour is treated with surgery followed by radiotherapy and chemotherapy. Proton beam radiation therapy (PT) offers superior dose distributional qualities compared with X- or gamma rays, as the dose deposition occurs in a modulated narrow zone called the Bragg peak. As a result, organs at risk are optimally speared. Here, we present a patient treated with the first spinal axis segment irradiation using spot-scanning PT with a single field, combined with conventional cranio-spinal axis radiotherapy after surgery and chemotherapy, and an extensive review of the literature outlining the clinical features and treatment modality of spinal PNET. FAU - Weber, D C AU - Weber DC AD - Division of Radiation Medicine, Proton Therapy Program, Paul Scherrer Institute, Villigen, Switzerland. damien.weber@psi.ch FAU - Rutz, H P AU - Rutz HP FAU - Lomax, A J AU - Lomax AJ FAU - Schneider, U AU - Schneider U FAU - Lombriser, N AU - Lombriser N FAU - Zenhausern, R AU - Zenhausern R FAU - Goitein, G AU - Goitein G LA - eng PT - Case Reports PT - Journal Article PT - Review PL - England TA - Clin Oncol (R Coll Radiol) JT - Clinical oncology (Royal College of Radiologists (Great Britain)) JID - 9002902 RN - 0 (Protons) SB - IM CIN - Clin Oncol (R Coll Radiol). 2004 Aug;16(5):324-5. PMID: 15341434 MH - Adult MH - Axis, Cervical Vertebra/radiation effects MH - Brain Neoplasms/*radiotherapy MH - Dose-Response Relationship, Radiation MH - Humans MH - Intestine, Small/pathology/radiation effects MH - Kidney/pathology/radiation effects MH - Lumbar Vertebrae/diagnostic imaging/pathology/radiation effects MH - Magnetic Resonance Imaging MH - Male MH - Neuroectodermal Tumors, Primitive/*radiotherapy MH - *Proton Therapy MH - Radiography MH - Radiotherapy Dosage MH - Radiotherapy, Conformal/adverse effects/*methods MH - Spinal Cord/pathology/radiation effects RF - 29 EDAT- 2004/09/03 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/09/03 05:00 PHST- 2004/09/03 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/09/03 05:00 [entrez] AID - S0936-6555(04)00048-2 [pii] AID - 10.1016/j.clon.2004.03.002 [doi] PST - ppublish SO - Clin Oncol (R Coll Radiol). 2004 Aug;16(5):326-31. doi: 10.1016/j.clon.2004.03.002.