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How would you empirically manage a large sellar/suprasellar mass with encasement of the right cavernous and terminal internal carotid arteries?

What would you recommend for radiation plan? Imaging favors meningioma but patient unable to have surgery or undergo MRI because of pacemaker. What would be your dose constraint for endocrine structures? What would you quote as risk of endocrinopathy?
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Radiation Oncology · University of Arizona
Answered on

Knowing the histology of the mass would really help in creating more accurate treatment recommendations. A biopsy of a sellar mass is usually accomplished by an endonasal-endoscopic transsphenoidal approach utilizing the expertise of an ENT surgeon and a skull-base neurosurgeon. However, in this cas...

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