Abstract
INTRODUCTION
Paraganglioma are rare, indolent and highly vascular tumors. The treatment options for paraganglioma include surgery, conventional external beam radiotherapy (EBRT), stereotactic radio-surgery (SRS) or combination of these modalities. EBRT has been used to treat unresectable tumors and patients with residual or recurrent lesions after surgery The aim of this study is evaluated the results of treatment in patients with paraganglioma who were treated with fractioned stereotactic radiotherapy
METHODS
Nine patients with paraganglioma, who were treated with fractioned stereotactic radiotherapy, were retrospectively evaluated.Two patient was male, and others were female. The median dose to the tumor was 25 Gy in median 5 fractions
RESULTS
Median follow-up was 65 months (range, 46-71 months). All patients were evaluated with magnetic rezonance imaging, every 6 months. Lesions were stable in 3 patients, and it was observed complete response in 1 patient and partial response in 5 patients. We did not observe any treatment related acute toxicity in our patients. We observed late toxicity in 2 patients.
DISCUSSION AND CONCLUSION
In conclusion, according to our experience, fractioned stereotactic radiotherapy with CyberKnife® (AccurayIncorporated, Sunnyvale, CA) seems to be successful treatment option in the management of paraganglioma.