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Radiotherapy in glomus tumours (paragangliomas). A 25 year-review.
1Department of Oncology, University Hospital, Rigshospitalet, Copenhagen.
Acta Oto-Laryngologica. Supplementum
|January 1, 1988
Summary
Radiotherapy offers comparable results to surgery for glomus tumours. Extensive surgery is not recommended for glomus tumours with extratympanal growth, suggesting radiotherapy as a viable alternative.
Area of Science:
- Oncology
- Otorhinolaryngology
- Neurosurgery
Background:
- Glomus tumours, including glomus jugulare, glomus tympanicum, and glomus caroticum/vagale, are neoplasms requiring effective treatment strategies.
- The choice between radiotherapy and surgery for these tumours, particularly those with extratympanal extension, remains a critical consideration in patient management.
Purpose of the Study:
- To evaluate the efficacy and outcomes of radiotherapy in patients with glomus tumours.
- To compare radiotherapy results with surgical interventions for glomus tumours.
- To determine the appropriateness of extensive surgery for glomus tumours exhibiting extratympanal growth.
Main Methods:
- Retrospective review of 57 patients diagnosed with glomus tumours.
- Analysis of treatment outcomes for 39 patients who received radiotherapy.
- Categorization of radiotherapy patients based on tumour type: glomus jugulare, glomus tympanicum, and glomus caroticum/vagale.
Main Results:
- Two patients treated with radiotherapy died due to their glomus tumours.
- One patient experienced progressive nerve involvement within two months post-irradiation.
- Radiotherapy outcomes were found to be comparable to those achieved with surgical treatments.
Conclusions:
- Radiotherapy presents a treatment option for glomus tumours that yields results comparable to surgical management.
- Extensive surgical procedures are not warranted for glomus tumours with extratympanal growth, given the efficacy of radiotherapy.