Gamma knife surgery for cancer pain—pituitary gland—stalk ablation: a multicenter prospective protocol since 2002

Lung Neoplasms Polymers Antigens, CD34 Stereotaxic Techniques brain metastasis; brainstem tumor; gamma knife; melanoma; radiosurgery; renal cell carcinoma Activities of Daily Living Factor VIII -- analysis Cooperative Behavior Melanoma Oral Ulcer Cells, Cultured Bone Marrow Transplantation Cysts brainstem tumor Sciences bio-médicales et agricoles Prognosis Survival Rate Dystonia Evaluation Studies as Topic Child, Preschool Cerebrovascular Circulation Pituitary Gland Acute Disease Cell Division Rotation Oligodendroglioma Neurosurgery Vision Disorders 610 Gamma knife Radiation Dosage 03 medical and health sciences Neurologie melanoma Endothelium RNA, Messenger Neoplasms, Squamous Cell Retrospective Studies Aged Vascular -- pathology Astrocytoma -- radionuclide imaging Cranial Nerve Diseases Ki-67 Antigen Cranial Fossa, Posterior Brain Neoplasms -- chemistry Neuritis/complications Uveal Neoplasms Cranial Sinuses Weight-Bearing Astrocytoma -- metabolism Postoperative Complications Hearing Thalamus Risk Factors Carcinoma, Non-Small-Cell Lung Carcinoma, Small Cell Brain Neoplasms -- radionuclide imaging Nuclear Proteins Neuroma, Acoustic Treatment Outcome Intracranial Hemorrhages Malignant astrocytoma Intracranial Arteriovenous Malformations Adult gamma knife Adolescent Pain Skull Base Neoplasms Imaging, Three-Dimensional Antigens CD34 -- analysis Prostatic Neoplasms Radiosurgery* Telephone Quality of Life Gels Male Microsurgery Neoplasms, Radiation-Induced Skin Neoplasms Trigeminal Neuralgia/surgery* Visual Acuity Craniopharyngioma Cognition 0302 clinical medicine Surveys and Questionnaires Pons Meningeal Neoplasms Prospective Studies Child Tomography Aged, 80 and over Phantoms, Imaging Brain Neoplasms Incidence Palliative Care Headache Proto-Oncogene Proteins c-mdm2 Sarcoma Kidney Neoplasms 3. Good health Dry Eye Syndromes Artifacts Meningioma Neurilemmoma Tomography, Emission-Computed Cyclin-Dependent Kinase Inhibitor p21 Adenoma Quality Control renal cell carcinoma Multiple Sclerosis Trigeminal Neuralgia/etiology* Astrocytoma -- surgery Movement Essential Tremor Hypothalamus Bone Neoplasms Adenocarcinoma Radiosurgery Hypopituitarism Disease-Free Survival Subthalamic Nucleus Cyclins Vimentin Humans Sella Turcica Pituitary Neoplasms Sweden Factor VIII Dose-Response Relationship, Radiation Recovery of Function Fibroblasts Survival Analysis Gamma Rays Emission-Computed Endothelium, Vascular Software Antimetabolites Cohort Studies Recurrence brain metastasis Treatment Failure Skull Base radiosurgery Angiography Parkinson Disease Cell Differentiation Glioma Middle Aged Trigeminal Neuralgia/pathology Combined Modality Therapy Magnetic Resonance Imaging Vascular Neoplasms Neuritis/virology Sensation Disorders Colonic Neoplasms Cavernous Sinus Female Reoperation Brain Neoplasms -- metabolism Rest Histopathology Breast Neoplasms Astrocytoma Brain Neoplasms -- pathology Immobilization Neuritis Proto-Oncogene Proteins Meningitis Brain Neoplasms -- surgery Radiometry Carcinoma, Renal Cell Neuronavigation Proportional Hazards Models Hypophysectomy Central Nervous System Vascular Malformations Salvage Therapy Reproducibility of Results Endoscopy Trigeminal Neuralgia Actins Stomatitis, Herpetic Hemangioma, Cavernous Bromodeoxyuridine Tumor Suppressor Protein p53 Neoplasm Recurrence, Local Tomography, X-Ray Computed Head Follow-Up Studies
DOI: 10.3171/jns.2002.97.supplement_5.0433 Publication Date: 2018-11-16T05:38:28Z
ABSTRACT
Object. The authors have treated intractable pain, particularly cancer pain related to bone metastasis, with various protocols. Cancer has been by gamma knife radiosurgery (GKS), targeted the pituitary gland—stalk, as an alternative new control method. purpose of this study was investigate a prospective multicenter protocol prove efficacy and safety treatment. Methods. Indications for patient inclusion in treatment were: 1) metastasis; 2) no other effective options; 3) general condition rated greater than 40 on Karnofsky Performance Scale; 4) morphine control; 5) previous radiation (GKS or conventional radiotherapy) brain metastasis. at one institution two patients, who suffered from severe using GKS. target gland. maximum dose 160 Gy isocenter 8-mm collimator, keeping optic nerve less 8 Gy. At another patients were same way; additional five similarly targeting gland isocenters 4-mm collimator. In all nine cases, resolved without significant complication. Pain relief observed within several days, effect prolonged until day that they died. follow up 1 24 months, recurrences hormonal dysfunction observed. Conclusions. Despite insufficient experience, GKS demonstrated patients. This potential ameliorate cancer-related will play more important role pain. More experience refined protocols are needed evaluate which parameters important, determine what strategy is best, clarify safest option
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