Gamma knife radiosurgery (GKRS) for pineal region tumors: a study of 147 cases

The purpose of this study is to evaluate the effectiveness of gamma knife radiosurgery (GKRS) in the treatment of pineal region tumors (PRTs). We retrospectively reviewed 147 cases of PRTs primarily treated with GKRS at our hospital between 1999 and 2009. Mean follow-up time was 67 months (range 60....

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Veröffentlicht in:World journal of surgical oncology 2015-10, Vol.13 (1), p.304-304, Article 304
Hauptverfasser: Li, Wentao, Zhang, Binfei, Kang, Wenxing, Dong, Boning, Ma, Xudong, Song, Jinning, Liu, Yonghong, Liang, Zhenqiang
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container_issue 1
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container_title World journal of surgical oncology
container_volume 13
creator Li, Wentao
Zhang, Binfei
Kang, Wenxing
Dong, Boning
Ma, Xudong
Song, Jinning
Liu, Yonghong
Liang, Zhenqiang
description The purpose of this study is to evaluate the effectiveness of gamma knife radiosurgery (GKRS) in the treatment of pineal region tumors (PRTs). We retrospectively reviewed 147 cases of PRTs primarily treated with GKRS at our hospital between 1999 and 2009. Mean follow-up time was 67 months (range 60.5-100.1). The local tumor control rates (LTCRs) and overall survival rates were calculated to evaluate the results of the GKRS treatment. At 2 months after GKRS, tumor volume was significantly reduced in 91 cases (61.9%). At 6 months, average tumor volume was 4.2 cm(3) as compared to 8.47 cm(3) before GKRS. By 1 year after GKRS, the tumor completely disappeared in 57 patients. Fourteen patients underwent second treatment, and one patient had third treatment. The overall survival rates were 72.1% at 3 years and 66.7% at 5 years for all patients and 62.4% at 3 years and 54.5% at 5 years for germ cell tumors (GCTs). The LTCRs were 94.30% at 3 years and 90.80% at 5 years for all patients and 88.00% at 3 years and 77.27% at 5 years for GCTs. GKRS is an effective and safe modality that can be widely used to PRTs as the primary therapy.
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We retrospectively reviewed 147 cases of PRTs primarily treated with GKRS at our hospital between 1999 and 2009. Mean follow-up time was 67 months (range 60.5-100.1). The local tumor control rates (LTCRs) and overall survival rates were calculated to evaluate the results of the GKRS treatment. At 2 months after GKRS, tumor volume was significantly reduced in 91 cases (61.9%). At 6 months, average tumor volume was 4.2 cm(3) as compared to 8.47 cm(3) before GKRS. By 1 year after GKRS, the tumor completely disappeared in 57 patients. Fourteen patients underwent second treatment, and one patient had third treatment. The overall survival rates were 72.1% at 3 years and 66.7% at 5 years for all patients and 62.4% at 3 years and 54.5% at 5 years for germ cell tumors (GCTs). The LTCRs were 94.30% at 3 years and 90.80% at 5 years for all patients and 88.00% at 3 years and 77.27% at 5 years for GCTs. 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We retrospectively reviewed 147 cases of PRTs primarily treated with GKRS at our hospital between 1999 and 2009. Mean follow-up time was 67 months (range 60.5-100.1). The local tumor control rates (LTCRs) and overall survival rates were calculated to evaluate the results of the GKRS treatment. At 2 months after GKRS, tumor volume was significantly reduced in 91 cases (61.9%). At 6 months, average tumor volume was 4.2 cm(3) as compared to 8.47 cm(3) before GKRS. By 1 year after GKRS, the tumor completely disappeared in 57 patients. Fourteen patients underwent second treatment, and one patient had third treatment. The overall survival rates were 72.1% at 3 years and 66.7% at 5 years for all patients and 62.4% at 3 years and 54.5% at 5 years for germ cell tumors (GCTs). The LTCRs were 94.30% at 3 years and 90.80% at 5 years for all patients and 88.00% at 3 years and 77.27% at 5 years for GCTs. GKRS is an effective and safe modality that can be widely used to PRTs as the primary therapy.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26490154</pmid><doi>10.1186/s12957-015-0720-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Care and treatment
Child
Comparative analysis
Complications and side effects
Female
Follow-Up Studies
Health aspects
Humans
Male
Middle Aged
Neoplasm Staging
Pineal Gland
Pinealoma - pathology
Pinealoma - surgery
Prognosis
Radiosurgery
Retrospective Studies
Surgery
Tumors
Young Adult
title Gamma knife radiosurgery (GKRS) for pineal region tumors: a study of 147 cases
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