XRT-04. THE ROLE OF STEREOTACTIC RADIOSURGERY FOR MENINGIOMAS IN PEDIATRIC PATIENTS Article Swipe
Regan M. Shanahan
,
Zhishuo Wei
,
Tracy K. Miller
,
Hansen Deng
,
Ajay Niranjan
,
L. Dade Lunsford
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/neuonc/noad073.300
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/neuonc/noad073.300
Despite the generally benign and slow-growing nature, meningiomas in pediatric populations often exhibit more aggressive behavior. Stereotactic radiosurgery (SRS) is a non-invasive modality that is widely used as an upfront or adjuvant treatment for patients with meningiomas. Due to the rarity of meningiomas in pediatric patients, the outcomes of SRS for childhood meningiomas have never been described. From 1987 to 2022, a total of 2,030 patients with meningiomas underwent SRS at the University of Pittsburgh Medical Center. Nine patients (2 female; incidence rate = 0.44%) with a median age of 14.5 years (range, 9—17 years) at SRS were identified. Three patients (33.3%) had a history of total body irradiation. Seven patients (77.8%) were asymptomatic at the time of SRS presentation. Seven patients (77.8%) had a pre-SRS craniotomy; two patients (22.2%) had pre-SRS fractionated radiotherapy. The median cumulative tumor volume was 3.65 cc (range, 0.01—11.84 cc). The median margin dose prescribed was 14 Gy (range, 11—25 Gy). The median follow-up time was 107 months (range, 24—194 months). Five patients (55.6%) experienced tumor progression at a median of 25 months (range, 13—161 months). Local tumor control at 1-, 5-, and 10 years was 100%, 55.56%, and 55.56%, respectively. After local tumor progression, 2 patients received repeat SRS, 2 patients had surgical resection and 1 was placed on hydroxyurea for an unresectable tumor. At the date of the last clinical follow-up, 5 patients (55.6%) were still alive while 4 patients (44.4%) expired due to the progression of intracranial disease. 1-, 5-, and 10-year survival was 100%, 88.89%, and 64.81%, respectively. Childhood meningioma is a rare tumor that exhibits aggressive behaviors. SRS should be considered as an upfront or adjuvant treatment option in the multi-modal management of childhood meningiomas for optimal tumor control and maximal quality of life preservation.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/neuonc/noad073.300
- https://academic.oup.com/neuro-oncology/article-pdf/25/Supplement_1/i78/50575054/noad073.300.pdf
- OA Status
- hybrid
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4380302665
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4380302665Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/neuonc/noad073.300Digital Object Identifier
- Title
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XRT-04. THE ROLE OF STEREOTACTIC RADIOSURGERY FOR MENINGIOMAS IN PEDIATRIC PATIENTSWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-06-01Full publication date if available
- Authors
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Regan M. Shanahan, Zhishuo Wei, Tracy K. Miller, Hansen Deng, Ajay Niranjan, L. Dade LunsfordList of authors in order
- Landing page
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https://doi.org/10.1093/neuonc/noad073.300Publisher landing page
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https://academic.oup.com/neuro-oncology/article-pdf/25/Supplement_1/i78/50575054/noad073.300.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://academic.oup.com/neuro-oncology/article-pdf/25/Supplement_1/i78/50575054/noad073.300.pdfDirect OA link when available
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Medicine, Radiosurgery, Asymptomatic, Cumulative incidence, Meningioma, Surgery, Incidence (geometry), Radiation therapy, Tumor progression, Radiology, Cancer, Internal medicine, Physics, Optics, TransplantationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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