Discovered a link to a paper written by a team in the US where endoscopic surgical procedure of Skull/Cranial base and Sinonasal tumors can be effective even the case of RMS.
http://www.kjm.keio.ac.jp/past/58/3/152.pdf
Clearly an interesting slant on Cranial/Sinus tumors applicable to Pediatric cases where reduction in morbidity and is apparent. I would be very interested to hear from anyone interested in this kind of surgery.
There are some very skilled surgeons with the ability to do this kind of surgery for Timmy. If good margins can be attained without radiotherapy we can potentially find a good road for a curative approach . There is also room to consider non-endoscopic cranial surgery which has its obvious challenges but might provide a similar outcome, although with well considered collateral damage.
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