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KMID : 0942820020010020170
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Journal of Korean Brain Tumor Society
2002 Volume.1 No. 2 p.170 ~ p.172
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Fractionated Stereotactic Radiosurgery for the Treatment of Craniopharyngioma
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Lee Gi-Taek
Choi Gwang-Young
Choi Chan-Young
Son Moon-Jun
Lee Dong-Joon
Hwang Gum-Cheol
Whang Choong-Jin
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Abstract
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A sixteen years old male patient was treated with the fractionated stereotactic radiosurgery(FSR) using Novalis system. The patient had surgery initially at other hospital before FSR and suffered from visual and endocrine dysfunctions which was required hormone replacement. Seven months after FRS, we found marked decrease of tumor volume. Now he is followed for 1 year. There is a still controversy regarding the ideal management of craniopharyngiomas. Radical resection
is hazardous and can produce unacceptable mortality and morbidity. Many authors noted that postoperative conventional radiotherapy or Gamma knife radiosurgery after limited excision achieved better results than total excision of tumor for survival and postoperative complications. FRS delivered precise radiation to a target volume in close proximity to surrounding critical structures resulted in tumor regression. FRS using the relocatable mask frame may have a good role for adjuvant treatment of recurred or relapsed craniopharyngiomas.
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KEYWORD
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Craniopharyngioma, Fractionated radiosurgery, Radiotherapy
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