Late Effects in Survivors of Pediatric Medulloblastoma: A Comprehensive Review.

Medulloblastoma (MB) treatment has advanced significantly with the integration of molecular subgrouping, enabling more precise risk stratification and tailored therapies. While survival outcomes have improved, long-term treatment-related morbidity remains a significant challenge. This review summari...

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Detalles Bibliográficos
Autores: Izurieta-Pacheco AC, Ramaswamy V, Tsang DS, Rutka J, Wasserman J, Guger S, Weidman DR, Nathan PC, Scheinemann K, Bennett J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p29379
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29379
Access Level:acceso abierto
Palabra clave:late effects
long-term outcomes
medulloblastoma
proton therapy
survivorship care
Descripción
Sumario:Medulloblastoma (MB) treatment has advanced significantly with the integration of molecular subgrouping, enabling more precise risk stratification and tailored therapies. While survival outcomes have improved, long-term treatment-related morbidity remains a significant challenge. This review summarizes the spectrum of late effects experienced by survivors of pediatric MB. Special attention is placed on the impact of proton therapy in reducing treatment toxicity. As therapeutic paradigms continue to evolve, historical data may no longer accurately reflect the toxicity profile of contemporary treatments. Therefore, prospective, molecularly annotated survivorship studies are needed to determine whether recent advances in treatment will lead to sustained improvements in health, functionality, and quality of life.