TY - CHAP
T1 - Radiotherapy in the Management of Pituitary Adenomas
AU - Kowalchuk, Roman O.
AU - Trifiletti, Daniel M.
AU - Brown, Paul D.
AU - Sheehan, Jason P.
N1 - Publisher Copyright:
© 2022 Elsevier Inc. All rights reserved.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - The pituitary gland may give rise to a range of etiologically distinct tumors, necessitating a diverse set of multidisciplinary therapeutic approaches. Radiotherapy is clinically indicated in approximately 50% of cancer patients worldwide [1]. Since the advent of highly conformal, stereotactic radiotherapy approaches, stereotactic radiosurgery (SRS) has become a standard treatment option for residual or recurrent nonfunctioning pituitary adenomas [2]. After 5years in retrospective series [3-6], reported local tumor control rates are high, at more than 90%. In the setting of functioning pituitary adenomas, radiosurgery is generally reserved for residual, recurrent, or refractory disease [7]. This chapter details indications, risks, and benefits of pituitary radiotherapy, as well as differences in treatment approaches between SRS, conventionally fractionated external beam radiotherapy, and proton therapy.
AB - The pituitary gland may give rise to a range of etiologically distinct tumors, necessitating a diverse set of multidisciplinary therapeutic approaches. Radiotherapy is clinically indicated in approximately 50% of cancer patients worldwide [1]. Since the advent of highly conformal, stereotactic radiotherapy approaches, stereotactic radiosurgery (SRS) has become a standard treatment option for residual or recurrent nonfunctioning pituitary adenomas [2]. After 5years in retrospective series [3-6], reported local tumor control rates are high, at more than 90%. In the setting of functioning pituitary adenomas, radiosurgery is generally reserved for residual, recurrent, or refractory disease [7]. This chapter details indications, risks, and benefits of pituitary radiotherapy, as well as differences in treatment approaches between SRS, conventionally fractionated external beam radiotherapy, and proton therapy.
KW - Pituitary
KW - Radiotherapy
KW - Stereotactic radiosurgery
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U2 - 10.1016/B978-0-323-99899-4.00004-4
DO - 10.1016/B978-0-323-99899-4.00004-4
M3 - Chapter
AN - SCOPUS:85137597537
SN - 9780323985338
SP - 753
EP - 764
BT - The Pituitary
PB - Elsevier
ER -