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		<title>Clival Chordoma</title>
		<link>http://isocentre.wikidot.com/forum/t-362024/clival-chordoma</link>
		<description>Posts in the discussion thread &quot;Clival Chordoma&quot;</description>
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				<guid>http://isocentre.wikidot.com/forum/t-362024#post-1156797</guid>
				<title>Re: Clival Chordoma</title>
				<link>http://isocentre.wikidot.com/forum/t-362024/clival-chordoma#post-1156797</link>
				<description></description>
				<pubDate>Fri, 20 May 2011 05:00:27 +0000</pubDate>
				<wikidot:authorName>Dr Nilesh Mahale</wikidot:authorName>				<wikidot:authorUserId>436619</wikidot:authorUserId>				<content:encoded>
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						 <p>No.<br /> No such facility is available in India</p> 
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				<guid>http://isocentre.wikidot.com/forum/t-362024#post-1156130</guid>
				<title>Re: Clival Chordoma</title>
				<link>http://isocentre.wikidot.com/forum/t-362024/clival-chordoma#post-1156130</link>
				<description></description>
				<pubDate>Thu, 19 May 2011 14:25:38 +0000</pubDate>
				<wikidot:authorName>Palex80</wikidot:authorName>				<wikidot:authorUserId>794602</wikidot:authorUserId>				<content:encoded>
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						 <p>Do you have access to heavy ions or protons?</p> 
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				<guid>http://isocentre.wikidot.com/forum/t-362024#post-1155850</guid>
				<title>Clival Chordoma</title>
				<link>http://isocentre.wikidot.com/forum/t-362024/clival-chordoma#post-1155850</link>
				<description></description>
				<pubDate>Thu, 19 May 2011 07:12:54 +0000</pubDate>
				<wikidot:authorName>Dr Nilesh Mahale</wikidot:authorName>				<wikidot:authorUserId>436619</wikidot:authorUserId>				<content:encoded>
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						 <p>33/M<br /> Prepontine cistern SOL compressing on mid brain and pons, displacing basilar artery posterolaterally.<br /> Trans sphenoidal excision done<br /> Post op CT shows residual disease.<br /> Symptomatic improvement<br /> HPR: Clival Chordoma</p> <p>Plan: Radiotherapy (dose 55- 63&#160;Gy) Thats maximum I think we can deliver in this location with photons.</p> <p>Is there any role for hyperfractionated RT.</p> <p>What should be the CTV margin/ volume from residual GTV?</p> 
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