成神经细胞瘤是恶性度极高的肿瘤,治疗采取手术、放疗以及联合化疗的综合治疗.各种治疗方法均有一定疗效,但在实际治疗中要充分考虑患者的年龄、状态、肿瘤进展程度、髓腔内有无转移、有无脑积水等.对不同的病例做出适当的治疗计划是非常重要的.在肿瘤局限于第四脑室,肿瘤细胞尚未向髓腔内播散的情况下,宜采取肿瘤全切术和术后放疗.通常肿瘤局部照射为50～55Gy,为预防播散转移对全脑全脊髓照射30～40Gy,5年生存率可达60%左右.成神经细胞瘤对抗 Neuroblastoma is a highly malignant tumor, the treatment of surgery, radiotherapy and combined chemotherapy, a variety of treatment methods have a certain effect, but in the actual treatment to fully consider the patient’s age, status, tumor progression , With or without medullary cavity transfer, with or without hydrocephalus, etc .. To make appropriate treatment plan for different cases is very important in the tumor confined to the fourth ventricle, the tumor cells have not yet spread to the medullary cavity , Should take the total tumor resection and postoperative radiotherapy.Usually local tumor irradiation of 50 ~ 55Gy, for the prevention of disseminated metastasis of whole brain spinal cord irradiation 30 ~ 40Gy, 5-year survival rate of up to 60% .The neuroblastoma confrontation