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Would you offer post-operative radiation for a glomus tumor of the spine following decompressive laminectomy and incomplete resection?

Patient with circumferential thoracic spine tumor on imaging, with appearance of hemangioma. Surgical pathology demonstrated glomus tumor. Would PET-DOTATATE imaging be indicated?
2 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Arizona
Answered on

[68Ga]-DOTATATE PET/CT has demonstrated excellent diagnostic value in the localization of SDHx-related and sporadic head and neck paragangliomas. Significantly more lesions were identified on [68Ga]-DOTATATE PET/CT compared to all other functional and anatomical imaging modalities Janssen et al., PM...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on

Interesting question. I’ve treated many paragangliomas over 40 plus years. I’ve never encountered this scenario. Short answer, yes. 45 Gy/25 fractions.

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