GKS for glomus jugulare tumorsKeywords: glomus tumor, outcome, gamma knife, radiosurgery, skull baseInteractive Manuscript
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What is the background behind your study?
Glomus jugulare tumors are rare tumors that commonly involve, the middle ear, temporal bone, and lower cranial nerves. Resection, embolization, and radiation therapy have been the mainstays of treatment. Despite these therapies, tumor control can be difficult to achieve particularly without undo risk of patient morbidity and mortality.
What is the purpose of your study?
We assess the effect of the Gamma knife radiosurgery documenting the clinical and radiological outcome.
Describe your patient group.
A retrospective review identified 9 patients with glomus jugulare tumors who underwent Gamma knife radiosurgery.
Describe what you did.
Besides analysis of clinical outcome, a radiological volumetric analysis was also performed after treatment.
Describe your main findings.
There were 6 women and 3 men, (average age, 62.4 years) with a mean follow-up period of 31.4 months. The mean radiosurgical dose to the tumor margin was 13.3 Gy (range, 12 - 15 Gy). 6 Patients( 66.7 %) improved clinically, and 3 ( 33.3 %) were unchanged. Analysis of tumor volume at the time of the last magnetic resonanu imaging scan recorded a decrease in 6 patients, and no change in 3 patients.
Describe the main limitation of this study.
This was a retrospective study.
Describe your main conclusion.
Gamma knife surgery would seem to afford effective local control and preserves neurological function in patients with glomus jugulare tumors.
Describe the importance of your findings and how they can be used by others.
Longer follow-up periods are required to assess long-term effects.
Glomus jugulare tumors are rare tumors that commonly involve, the middle ear, temporal bone, and lower cranial nerves. Resection, embolization, and radiation therapy have been the mainstays of treatment. Despite these therapies, tumor control can be difficult to achieve particularly without undo risk of patient morbidity and mortality.
We assess the effect of the Gamma knife radiosurgery documenting the clinical and radiological outcome.
A retrospective review identified 9 patients with glomus jugulare tumors who underwent Gamma knife radiosurgery.
Besides analysis of clinical outcome, a radiological volumetric analysis was also performed after treatment.
There were 6 women and 3 men, (average age, 62.4 years) with a mean follow-up period of 31.4 months. The mean radiosurgical dose to the tumor margin was 13.3 Gy (range, 12 - 15 Gy). 6 Patients( 66.7 %) improved clinically, and 3 ( 33.3 %) were unchanged. Analysis of tumor volume at the time of the last magnetic resonanu imaging scan recorded a decrease in 6 patients, and no change in 3 patients.
This was a retrospective study.
Gamma knife surgery would seem to afford effective local control and preserves neurological function in patients with glomus jugulare tumors.
Longer follow-up periods are required to assess long-term effects.
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