Between 1954 and 1986 inclusive, 160 children in the North West Region
of England were registered with histologically proven low-grade astro
cytomas (grade 1 or 2). Ten died before receiving any treatment, and a
further seven died within 28 days of surgery, leaving 143 children wh
ose survival in relation to treatment modality is the subject of this
paper. Low-grade astrocytomas are responsive to radiation therapy. Thi
s treatment has no clear benefit to offer children with superficial tu
mours that can be resected completely or nearly so, but significantly
improves survival rates when tumours are deep-seated and not amenable
to excision.