Hypofractionated stereotactic radiation therapy in skull base meningiomas View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-09

AUTHORS

Pierina Navarria, Federico Pessina, Luca Cozzi, Elena Clerici, Elisa Villa, Anna Maria Ascolese, Fiorenza De Rose, Tiziana Comito, Ciro Franzese, Giuseppe D’Agostino, Francesca Lobefalo, Antonella Fogliata, Giacomo Reggiori, Maurizio Fornari, Stefano Tomatis, Lorenzo Bello, Marta Scorsetti

ABSTRACT

To investigate the role of hypo-fractionated stereotactic radiation treatment (HSRT) in the management of skull base meningioma. Twenty-six patients were included in the study and treated with a dose of 30 Gy in 5 fractions with volumetric modulated arc therapy (RapidArc). Eighteen patients were symptomatic before treatment. Endpoints were local toxicity and relief from symptoms. Tumors were located in anterior skull base in 4/27 cases, in middle skull base in 12/27 and in posterior skull base in 11/27. HSRT was performed as first treatment in 17 (65 %) patients, in 9 (35 %) patients it followed a previous partial resection. Median follow up was 24.5 months (range 5-57 months). clinical remission of symptoms, complete or partial, was obtained in the vast majority of patients after treatment. Out of the 18 symptomatic patients, partial remission occurred in 9 (50 %) patients and complete remission in 9 (50 %). All asymptomatic patients retained their status after treatment. No severe neurologic toxicity grade III-IV was recorded. No increase of meningioma in the same site of treatment occurred; 16 (62 %) patients had stable disease and 9 (38 %) patients had tumor reduction. The mean tumor volume after treatment was 10.8 ± 17.8 cm(3) compared with 13.0 ± 19.1 cm(3) before treatment (p = 0.02). The mean actuarial OS was 54.4 ± 2.8 months. The 1- and 2-years OS was 92.9 ± 0.7 %. HSRT proved to be feasible for these patients not eligible to full surgery or to ablative radiation therapy. Local control and durability of results suggest for a routine application of this approach in properly selected cases. More... »

PAGES

283-289

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11060-015-1838-6

DOI

http://dx.doi.org/10.1007/s11060-015-1838-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1052625923

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26040487


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