علاج ورم السحايا العرضي في الحبل الشوكي لدى المرضى ذوي الحالة السريرية السيئة أو موانع الجراحة

References

DOI: 10.1093/neuonc/noab150

• SRS has been established as an alternative therapy to surgery in well-defined cases with small tumors in elderly or critically sick patients.
• Radiosurgery may be an alternative in patients with relative or absolute contraindications for surgery and with small tumors without mass effect, although a higher grade meningioma or a different histology cannot be entirely ruled out.
• If the tumor cannot be treated by a single fraction, fractionated radiosurgery or standard fractionated external beam RT can be applied.
• There are little data for radiosurgery of spinal meningiomas which can be performed as single-dose radiosurgery or in a hypofractionated manner, too.
• Two retrospective series found that a reduction of tumor size after SRS or hypofractionated RT was predictive for long-time tumor control after 5 and 10 years.