Stereotactic radiosurgery for the treatment of recurrent high-grade gliomas: long-term follow-up

High-grade gliomas (HGG) are the most frequent primary central nervous system tumors; treatment of HCGs includes surgery and post-operative conformal radiotherapy associated with temozolomide (TMZ or procarbazine/lomustine/vincristine [PCV], specifically in patients with anaplastic oligodendroglioma...

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Detalles Bibliográficos
Autores: Sallabanda, K. (Kita)|||/items/c2893faa-8f39-419c-8a28-8e93aba7e50e, Yañez, L. (Loreto)|||/items/87e1e005-2728-4e8b-bdfe-5408173d5dd8, Sallabanda, M. (Morena)|||/items/3668a543-920c-4305-bcfd-13a342c5c06c, Santos, M. (Marcos)|||/items/cdb6609e-53ec-491b-acb4-adf7d945a9dd, Calvo-Manuel, F.A. (Felipe Ángel)|||/items/b5d6c8b0-2e24-4372-a422-00af59a4cd3e, Marsiglia, H. (Hugo)|||/items/57a84eee-bbee-4721-b798-075edc590d0a
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/62285
Acceso en línea:https://hdl.handle.net/10171/62285
Access Level:acceso abierto
Palabra clave:Radiosurgery
Cyberknife®
Recurrent gliomas
Ck-cyberknife
Glioblastoma multiforme (gbm)
Recurrent gbm
Srs
Descripción
Sumario:High-grade gliomas (HGG) are the most frequent primary central nervous system tumors; treatment of HCGs includes surgery and post-operative conformal radiotherapy associated with temozolomide (TMZ or procarbazine/lomustine/vincristine [PCV], specifically in patients with anaplastic oligodendrogliomas or anaplastic oligoastrocytomas). However, recurrence is common. Re-irradiation has been utilized in this setting for years and remains a feasible option, although there is always a concern regarding toxicity. Modern high-precision conformal techniques, including stereotactic radiosurgery (SRS), could improve the therapeutic ratio by delivering high biologically equivalent doses while reducing high-dose radiotherapy (RT) to normal brain tissue. In this paper, we present the results obtained after prolonged follow-up in patients who underwent SRS as a treatment for recurrent high-grade gliomas at San Francisco Hospital in Madrid, Spain.