Table 2.
Summary of results of recent series on stereotactic radiosurgery for GH-secreting pituitary adenomas
Authors | patients | type of | total dose | follow-up | tumor | biochemical remission | late toxicity (%) | |
---|---|---|---|---|---|---|---|---|
SRS | (Gy) | median (months) | control (%) | (%) | visual | hypopituitarism | ||
Attanasio et al., 2003 [34] | 30 | GK SRS | 20 | 46 | 100 | 30 at 5 years | 0 | 6.7 |
Jane et al., 2003 [35] | 64 | GK SRS | 15 | > 18 | NA | 36 | 0 | 28 |
Castinetti et al., 2005 [36] | 82 | GK SRS | 26 | 49.5* | NA | 17 | 1.2 | 17 |
Gutt et al., 2005 [37] | 44 | GK SRS | 23 | 22 | 100 | 48 | NA | NA |
Kobayashi et al., 2005 [38] | 67 | GK SRS | 18,9 | 63 | 100 | 17 | 11 | 15 |
Jezkova et al., 2006 [39] | 96 | GK SRS | 32 | 53.7 | 100 | 44 at 5 years | 0 | 27.1 |
Voges et al., 2006 [40] | 64 | LINAC SRS | 16,5 | 54.3 | 97 | 14 and 33 at 3 and 5 years | 1.4 | 13 and 18 at 3 and 5 years |
Petit et al., 2007 [32] | 22 | PSRS | 20 GyE | 75.6 | 100 | 59 | 0 | 38 |
Pollock et al., 2007 [41] | 46 | GK SRS | 20 | 63 | 100 | 11 and 60 at 2 and 5 years | 0 | 33 at 5 years |
Vik-Mo et al., 2007 [42] | 53 | GK SRS | 26.5 | 67 | 100 | 58 and 86 at 5 and 10 years | 3.8 | 10 at 5 years |
Jagannathan et al., 2008 [43] | 95 | GK SRS | 22 | 57 | 98 | 53 | 4 | 34 |
Losa et al., 2008 [44] | 83 | GK SRS | 21,5 | 69 | 97 | 52 and 85 at 5 and 10 years | 0 | 10 at 10 years |
Ronchi et al., 2009 [45] | 35 | GK SRS | 20 | 114 | 100 | 46 at 10 years | 0 | 50 |
Wan et al., 2009 [46] | 103 | GK SRS | 21,4 | 67 | 95 | 37 | 0 | 6 |
Hayashi et al., 2010 [47] | 25 | GK SRS | 25.2 | 36 | 100 | 40 | 0 | 0 |
Iwai et al., 2010 [48] | 26 | GK SRS | 20 | 84 | 96 | 17 and 47 at 5 and 10 years | 0 | 8 |
*mean follow-up; NA not assessed.
SRS, stereotactic radiosurgery; GKS, Gamma Knife radiosurgery.
PSRS; proton stereotactic radiosurgery.