Radiocirurgia robótica no tratamento de paragangliomas do osso temporal: experiência de um centro e revisão da literatura

Sofia Ramos; Sara Simões; Marina Amorim; Maria Adelina Costa; Guilherme Campos; Graça Fonseca; Miguel Carvalho; Pedro Vieira; Cármen Calçada; Paulo Serafim Costa

doi:10.34631/sporl.2092

Authors

Sofia Ramos Serviço de Radioterapia do Hospital de Braga, Portugal https://orcid.org/0000-0002-5096-6490
Sara Simões Serviço de Radioterapia do Hospital de Braga, Portugal https://orcid.org/0009-0007-3473-7149
Marina Amorim Serviço de Radioterapia do Hospital de Braga, Portugal https://orcid.org/0000-0001-5693-4855
Maria Adelina Costa Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0000-0002-4599-6679
Guilherme Campos Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0000-0001-8923-6412
Graça Fonseca Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0009-0001-2563-3221
Miguel Carvalho Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0009-0005-6001-955X
Pedro Vieira Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0009-0004-4772-218X
Cármen Calçada Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal https://orcid.org/0009-0002-8300-659X
Paulo Serafim Costa Serviço de Radioterapia Júlio Teixeira SA, Instituto CUF, Porto, Portugal

DOI:

https://doi.org/10.34631/sporl.2092

Keywords:

Paraganglioma, Cyberknife, Radiosurgery

Abstract

Objective: To report the experience of a single center in the treatment of temporal bone paragangliomas with Robotic Radiosurgery.
Study Design: Single-center retrospective analysis
Material and Methods: Between 2017 and 2021, 8 patients with temporal bone paragangliomas were treated with Cyberknife in the Department of Radiation Oncology of Instituto CUF Porto.
Results: Half of the patients were diagnosed with recurrent tumors after surgery +/- embolization. The median follow-up was 33 months. Regarding clinical outcomes, 4 patients showed improvement in pre-radiosurgery symptoms, 2 remained symptom-free and 2 demonstrated neurological stability. All tumors revealed regression (n=5) or stable dimension (n=3) during follow-up MRI, with local control of 100%. There was no grade ≥3 or late toxicities.
Conclusion: Robotic Radiosurgery seems to be a helpful therapeutic approach in the management of temporal bone paragangliomas, either after surgery and/or embolization recurrences or as a single and radical treatment.

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References

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Robotic radiosurgery for temporal bone paragangliomas: single-center experience and review of the literature

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