MEETING NOTES : Dr. Redmond, Johns Hopkins Pituitary Day
Meeting Created:September 29, 2012, 12:07 PM
Baltimore
radiotherapy
indications
- recurrence
- persistent hormone secretion
- inoperable
tumors repair more slowly than normal cells
IMRT Intensity modulated radiation therapy
stereotactic radiosurgery
more radiation beams, greater precision
very small tumors 1-5 treatments
larger 5-6 weeks
150-300 radiation beams target area
Synergy machine
for divided course of radiation
cyberknife for 1-5 treatments
short-term
fatigue
hair loss
tearful or dry eye
headache
nausea
long-term
cataracts
decreased hormones
damage to vision (rare)
second tumor (rare)
tumor control 90%
hormone normalization 60%
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