Onco Wiki / Disease

Medulloblastoma

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDDIS-MEDULLOBLASTOMA
TypeDisease
Aliases
PNET of cerebellum (historical term)WHO grade IV embryonal CNS tumorМедулобластома
Statusreviewed 2026-05-19 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-NCCN-CNS-2025

Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.

Source YAML

icd_o_3_morphology9470/3
icd_o_3_topography["C71.6"]
icd_10C71.6
who_classificationWHO CNS5 (2021): Medulloblastoma molecularly defined (WNT-activated, SHH-activated TP53-wt / TP53-mutant, non-WNT/non-SHH including Group 3, Group 4); histologically defined (classic, desmoplastic/nodular, MBEN, large cell/anaplastic)

Capabilities

Notes

Molecular subgrouping has revolutionized risk stratification. WNT- activated MB has the most favorable prognosis and is candidate for treatment de-escalation in current SJMB12 / PNET5 protocols. SHH- activated TP53-mutant MB is high-risk and may warrant Li-Fraumeni workup + radiation avoidance considerations. Group 3 (MYC-amplified) is high-risk and intensified regimens are studied. Craniospinal RT in young children (<3 y) is generally avoided due to neurocognitive late effects — high-dose chemo + autologous stem cell transplant used as bridge. Surveillance after treatment: brain + spine MRI q3-6 mo years 1-2, q6-12 mo years 3-5, annually thereafter.

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