Saturday, September 29, 2012

Dr. Redmond, Johns Hopkins Pituitary Day

MEETING NOTES : Dr. Redmond, Johns Hopkins Pituitary Day


Meeting Created: September 29, 2012, 12:07 PM
Baltimore

radiotherapy indications
  • recurrence
  • persistent hormone secretion
  • inoperable
tumors repair more slowly than normal cells


IMRT (Intensity modulated radiation therapy)


stereotactic radiosurgery

  • more radiation beams, greater precision
  • very small tumors 1-5 treatments
  • larger 5-6 weeks
  • 150-300 radiation beams target area
  • Synergy machine
  • for divided course of radiation

cyberknife for 1-5 treatments


  • short-term 
  • fatigue
  • hair loss
  • tearful or dry eye
  • headache
  • nausea
  • long-term
  • cataracts
  • decreased hormones
  • damage to vision (rare)
  • second tumor (rare)
  • tumor control 90%
  • hormone normalization 60%