Document Detail


How soon will the patient with metastasis return for radiosurgery?
MedLine Citation:
PMID:  18503336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Stereotactic radiosurgery for brain metastasis has become one of the standard treatment options in recent years. Some patients must undergo repeated stereotactic radiosurgery for new lesions. The authors retrospectively reviewed their data to estimate how soon the patients undergo repeated radiosurgery for new lesions. METHODS: Between October 1999 and March 2006, 1081 patients with brain metastases underwent Gamma Knife surgery (GKS) at Tokyo Women's Medical University. One hundred and forty-nine patients in whom GKS had been performed two or more times were evaluated. There were 68 men and 81 women with a median age of 61 years (range 29-90 years). The authors analyzed data on patient age, number of treated lesions, and period between GKSs. Follow-up imaging was performed in almost all patients every 2 to 3 months after GKS. The number of lesions treated in a single session varied from one to 35. The median interval between GKSs was 26 weeks (range 3-175 weeks) for patients with breast cancer and 23 weeks (range 4-179 weeks) for patients with non-small cell lung carcinoma. CONCLUSIONS: It would appear that follow-up imaging studies should be obtained every 2 to 3 months after GKS to monitor patients for tumor recurrence.
Authors:
Kotaro Nakaya; Motohiro Hayashi; Masahiro Izawa; Taku Ochiai; Tomokatsu Hori; Kintomo Takakura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  105 Suppl     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2008-05-27     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan. knakaya@nij.twmu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Brain Neoplasms / secondary*,  surgery*
Breast Neoplasms / pathology*
Carcinoma, Non-Small-Cell Lung / secondary,  surgery*
Cohort Studies
Disease-Free Survival
Female
Humans
Lung Neoplasms / pathology*
Male
Middle Aged
Radiosurgery*
Retreatment
Retrospective Studies
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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