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What is the ideal time interval to wait before starting radiation for postoperative treatment of benign brain lesions?

For example, meningiomas or pituitary adenomas?
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What is the ideal time interval to wait before starting radiation for postoperative treatment of benign brain lesions?

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3 Answers
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Radiation Oncology · GammaWest Cancer Services
Answered on · Updated on

The answer to this question may vary by tumor type and expected tumor growth rate, but since meningioma was first among the cited examples, permit a brief comment with that in mind. For meningioma, likely quite similar to acoustic neuroma, pituitary ademona and other typically slowly progressive CNS...

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Radiation Oncology · University of Colorado School of Medicine
Answered on

I agree with Dr. @Dr. First Last that there is no rush to start treatment after surgery for "benign" or low grade tumors. For example, it is very typical after resection of a pituitary tumor at my center to wait approximately 4 to 6 months for a repeat MRI, to assess the full extent of resection (th...

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Mednet Member
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Radiation Oncology · GammaWest Cancer Services
Answered on

There is not a reliable, uniformly applicable answer to this question, but it is definitely one we face regularly. With NRG BN003, patients with gross totally resected (GTR) WHO II meningioma must start IMRT within 6 months of surgery. This time frame was chosen largely to permit additional surgery ...

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