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

Autores

DOI:

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

Palavras-chave:

Paraganglioma, Cyberknife, Radiocirurgia

Resumo

Objetivo: Reportar a experiência de um centro no tratamento de paragangliomas do osso temporal com radiocirurgia robótica.
Desenho do Estudo: Análise retrospetiva unicêntrica
Material e Métodos: Entre 2017 e 2021, 8 doentes com paragangliomas do osso temporal receberam tratamento com Cyberknife no Serviço de Radioterapia do Instituto CUF Porto.
Resultados: Metade dos doentes apresentavam recidiva tumoral após cirurgia +/- embolização. O tempo de seguimento médio foi de 33 meses. Relativamente à resposta clínica, 4 doentes melhoraram dos sintomas pré-radiocirurgia, 2 mantiveram-se assintomáticos e 2 apresentaram estabilidade neurológica. Todos os tumores revelaram regressão (n=5) ou estabilidade dimensional (n=3) - seguimento com ressonância magnética (RM), com um controlo local de 100%. Não foi reportada toxicidade aguda grau ≥3 ou tardia.
Conclusões: Na presente análise, a radiocirurgia robótica parece demonstrar ser uma abordagem terapêutica útil na gestão dos paragangliomas do osso temporal, quer nas recidivas após cirurgia e/ou embolização, quer como tratamento radical único.

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Publicado

24-03-2024

Como Citar

Ramos, S., Simões , S., Amorim, M., Costa, M. A., Campos, G., Fonseca, G., Carvalho, M., Vieira, P., Calçada, C., & Costa, P. S. (2024). Radiocirurgia robótica no tratamento de paragangliomas do osso temporal: experiência de um centro e revisão da literatura. Revista Portuguesa De Otorrinolaringologia-Cirurgia De Cabeça E Pescoço, 62(1), 21–28. https://doi.org/10.34631/sporl.2092

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