How would you manage a local recurrence of a spinal hemangioblastoma following prior surgical resection alone?

If further resection is possible, would you recommend adjuvant radiation?

Would you consider definitive radiation alone?

Would you recommend conventionally fractionated radiation or SRS/SBRT techniques?

Answer from: Radiation Oncologist at Academic Institution

Hemangioblastomas are benign rare tumors that arise from the linings of blood vessels (embryonically arrested hemangioblasts) and can form in the brain, spinal cord, and retina. When they occur in the spine, they have a tendency to recur ~25% of the time. The primary treatment for a recurrent spinal...

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How would you manage a local recurrence of a spinal hemangioblastoma following prior surgical resection alone?

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