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Published on: December 28, 2017
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Radiotherapy of benign intracranial tumours.
G Dissaux1, S Josset2, F Thillays3
1Département de radiothérapie, CHRU Morvan, Latim, Inserm, UMR 1101, université de Brest, Isbam, UBO, UBL, 2, avenue Foch, 29200 Brest, France.
Summary
Updated French Society for Radiation Oncology recommendations emphasize observation for asymptomatic benign intracranial tumors. Symptomatic or growing tumors warrant surgery or modern radiotherapy techniques, including stereotactic treatments, to minimize side effects.
Area of Science:
- Radiation Oncology
- Neurosurgery
- Medical Imaging
Background:
- Benign intracranial tumors, including meningiomas, schwannomas, and pituitary adenomas, present a significant clinical challenge.
- Management strategies require careful consideration of tumor characteristics and patient factors.
Purpose of the Study:
- To provide updated recommendations for the management of benign intracranial tumors.
- To outline the role of surgery and radiotherapy in treating these lesions.
Main Methods:
- Review and synthesis of current evidence and clinical expertise.
- Emphasis on multidisciplinary discussion for treatment indication.
- Utilization of advanced techniques such as multimodal imaging and image-guided radiation therapy.
Main Results:
- Observation is suitable for slow-growing, asymptomatic tumors.
- Surgery is the primary treatment for symptomatic or growing tumors.
- Radiotherapy is indicated when surgery is not feasible, for residual tumors, or local relapse.
Conclusions:
- Treatment decisions for benign intracranial tumors require careful multidisciplinary evaluation of risks and benefits.
- Modern radiotherapy techniques, including stereotactic treatments, are crucial for optimizing outcomes and minimizing late side effects.
Keywords:
Adénomes hypophysairesBenign intracranial tumoursCraniopharyngiomasCraniopharyngiomesFrench society for radiation oncologyGuidelinesMeningiomasMéningiomesParagangliomasParagangliomesPituitary adenomasRadiation therapyRadiothérapieRecommadationsSchwannomes vestibulairesSociété française de radiothérapie oncologiqueTumeurs bénignes intracrânienneVestibular schwannomas
