What is the preferred dose and fractionation scheme for patients with pituitary macroadenomas?

Topics: Radiation Oncology • Neuro-Oncology

If normal tissue constraints can be met, should most patients (including ones with secretory tumors) be treated with radiosurgery and/or hypofractionated regimens? Which patients should receive conventionally fractionated regimens?

Answer from: Radiation Oncologist at Academic Institution

Radiation treatment approach for pituitary adenomas is dependent on several factors. This includes whether it is secretory or nonsecretory, and proximity to optic nerves/chiasm. Surgical resection should always be considered as the first approach (with the exception of prolactinomas, which should be...

Comments

Radiation Oncologist at Munson Medical Center
50.4-54 Gy at 1.8 Gy/Fx for functioning, limit hit...

Radiation Oncologist at Cleveland Clinic
I agree!

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