We read with some disquiet the article published by your journal entitled “Epidemiology, Management and Treatment Outcome of Medulloblastoma in Singapore” by Chan et al.1 It succinctly reviewed the 39 paediatric patients with medulloblastoma seen over a 9-year period in Singapore, and made 2 statements: 1. The clinical outcomes seen “were inferior to reported outcomes in established centres in the world, “ and 2. “It is uncertain if some patients received suboptimal treatment by current standards” because the radiotherapy was not necessarily risk-adapted.
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