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What SRS dose do you use for secreting and non-secreting pituitary adenomas, respectively?

2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Columbia University Irving Medical Center

In general I go to a higher dose for a secreting pituitary tumor than nonsecreting tumor. I try to go as high as I safely can while respecting optic nerve and chiasm tolerance.

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Mednet Member
Mednet Member
Radiation Oncology · Kaiser Permanente

After central debulking, would you use SRS for a 1 cm residual GH-secreting adenoma in the cavernous sinus and along internal carotid artery? If so, what dose? What would you estimate risks of cranial neuropathy or vasc injury with SRS?

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