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Radiation therapy for visual pathway tumors.

Volker W Stieber¹

¹Department of Radiation Oncology, Derrick L. Davis Forsyth Regional Cancer Center, 3333 Silas Creek Parkway, Winston-Salem, NC 27103, USA. vwstieber@novanthealth.org

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society

|September 5, 2008

Summary

This summary is machine-generated.

Radiation therapy is a common treatment for visual pathway tumors, offering stable vision and tumor control for various conditions. Chemotherapy is preferred for pediatric gliomas, while radiation risks depend on dose and proximity to organs.

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DTI of the Visual Pathway - White Matter Tracts and Cerebral Lesions

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Published on: August 26, 2014

Area of Science:

Oncology
Radiation Oncology
Ophthalmology

Background:

Multimodality management of visual pathway tumors often includes radiation.
Radiation can be delivered as fractionated radiation therapy or single-session radiosurgery.
Tumor types include gliomas, meningiomas, pituitary adenomas, craniopharyngiomas, and orbital lymphomas.

Purpose of the Study:

To review the role and efficacy of radiation therapy in managing various visual pathway tumors.
To highlight specific treatment recommendations for different tumor types, including pediatric gliomas.
To discuss factors influencing the risk of complications from radiation treatment.

Main Methods:

Review of existing literature on radiation therapy for visual pathway tumors.
Analysis of treatment outcomes, including tumor control and vision preservation.
Assessment of complication risks based on dose, fractionation, and organs at risk.

Main Results:

Radiation therapy provides stable vision for optic nerve sheath meningiomas.
Radiation/radiosurgery controls tumor growth and hormone hypersecretion in pituitary tumors.
Postoperative radiation/radiosurgery improves local control for craniopharyngiomas.
Radiation is effective for orbital pseudolymphoma and lymphoma.
Pediatric visual pathway gliomas are best treated with chemotherapy initially.

Conclusions:

Radiation therapy is a valuable tool in managing diverse visual pathway tumors, offering significant benefits in tumor control and vision preservation.
Treatment strategies should be tailored to specific tumor types and patient populations, with particular consideration for pediatric cases.
Careful planning and dose management are crucial to minimize radiation-induced complications.