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%