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KMID : 0191120000150060718
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Journal of Korean Medical Science
2000 Volume.15 No. 6 p.718 ~ p.723
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Intraoperative Radiation Therapy as an Adjunctive Therapy for Huge and Highly Vascular Parasagittal Meningiomas
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Cho TH
Chung YG/Kim CY/Kim HK/Lee NJ/Chu JW/Choi MS
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Abstract
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This case presents a 34-year-old man who had a huge parasagittal meningioma. Initial treatment consisted
of preoperative external carotid artery embolization and partial tumor resection. During the resection,
we found that the tumor invaded the adjacent calvarium, and due to massive hemorrhage, total removal of
the tumor was impossible. The patient was treated with intraoperative radiation therapy (IORT) (25 Gy via
16 MeV) as an adjunctive therapy. Eight months after IORT, we were able to remove the tumor completely
without surgical difficulties. IORT can be considered an useful adjunctive therapy for the superficially
located, huge, and highly vascular meningioma.
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KEYWORD
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