Intraoperative radiation therapy as an adjunctive therapy for huge and highly vascular parasagittal meningiomas.
10.3346/jkms.2000.15.6.718
- Author:
Tae Hyung CHO
1
;
Yong Gu CHUNG
;
Chul Yong KIM
;
Han Kyeom KIM
;
Nam Joon LEE
;
Jeong Wha CHU
;
Myung Sun CHOI
Author Information
1. Department of Neurosurgery, Korea University Medical Center, Anam Hospital, Korea University, College of Medicine, Seoul.
- Publication Type:Case Reports
- Keywords:
Vascular Neoplasms;
Meningioma;
Radiotherapy, Computer-Assisted
- MeSH:
Adult;
Journal Article;
Human;
Intraoperative Care*;
Magnetic Resonance Imaging;
Male;
Meningeal Neoplasms/surgery;
Meningeal Neoplasms/radiotherapy*;
Meningeal Neoplasms/pathology;
Meningioma/surgery;
Meningioma/radiotherapy*;
Meningioma/pathology;
Vascular Neoplasms/surgery;
Vascular Neoplasms/radiotherapy*;
Vascular Neoplasms/pathology
- From:Journal of Korean Medical Science
2000;15(6):718-723
- CountryRepublic of Korea
- Language:English
-
Abstract:
This case presents a 34-year-old man who had a huge parasagittal meningioma. Initial treatment consisted of preoperative external carotid artery embolization and partial tumor resection. During the resection, we found that the tumor invaded the adjacent calvarium, and due to massive hemorrhage, total removal of the tumor was impossible. The patient was treated with intraoperative radiation therapy (IORT) (25 Gy via 16 MeV) as an adjunctive therapy. Eight months after IORT, we were able to remove the tumor completely without surgical difficulties. IORT can be considered an useful adjunctive therapy for the superficially located, huge, and highly vascular meningioma.
