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- Title
Radiosurgery for infundibulum adenoma: stalk dose implications.
- Authors
Sokolowski, Jennifer; Cohen-Inbar, Or; Sheehan, Jason
- Abstract
Treating pituitary adenomas in the infundibulum with stereotactic radiosurgery (SRS), achieving tumor volume control while preserving pituitary endocrine function and visual function, is challenging. We present a case of a recurrent remnant infundibular lesion treated with Gamma Knife surgery (GKS). The mass was treated with microsurgical resection twice, and the residual stalk lesion was treated with single-session SRS employing a margin dose of 15 Gy to the infundibulum. Five years after GKS, tumor regression persists without visual dysfunction or hypopituitarism. Radiosurgical doses of 30 Gy to the pituitary stalk may be tolerated by patients while maintaining endocrine function.
- Subjects
ADENOMA; STEREOTACTIC radiosurgery; INFUNDIBULUM (Brain); ENDOCRINE function tests; HYPOPITUITARISM
- Publication
Acta Neurochirurgica, 2016, Vol 158, Issue 9, p1697
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-016-2894-1