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%
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