Review Article
Stereotactic Irradiation of GH-Secreting Pituitary Adenomas
Table 1
Summary of results of recent series on SRS for GH-secreting pituitary adenomas.
| Authors | patients No | Type of SRS | Total dose Gy | followup median (months) | Tumor control (%) | Hormone normalization (%) | Late toxicity (%) | | | | | | | | Visual | Hypopituitarism |
| Morange-Ramos et al. [23] | 15 | GK SRS | 28 | 20 | NA | 20 | 5 | 16 | Lim et al. [24] | 20 | GK SRS | 25 | 26 | 92.5 | 30 | 5 | 5 | Landolt et al. [25] | 16 | GK SRS | 25 | 17 | NA | 50 | 0 | 0 | Kim et al. [26] | 11 | GK SRS | 28.7 | 27 | NA | 35 | 0 | 0 | Inoue et al. [27] | 12 | GK SRS | 21 | >24 | 94 | 58 | NA | NA | Mokry et al. [28] | 10 | GK SRS | 16 | 46 | 100 | 31 | 0 | NA | Izawa et al. [29] | 29 | GK SRS | 22.5 | >6 | 100 | 41 | 0 | 0 | Zhang et al. [30] | 68 | GK SRS | 31 | 32 | NA | 40 | 1.3 | 4 | Landolt et al. [31] | 31 | GK SRS | 25 | 19.2 | NA | 69 | NA | NA | Ikeda et al. [32] | 17 | GK SRS | 25 | 58 | NA | 82 | 0 | 0 | Pollock et al. [33] | 26 | GK SRS | 20 | 36 | 100 | 47 | 0 | 16 | Swords et al. [34] | 13 | LINAC SRS | 8–15 | 25 | 100 | 35 | 0 | 0 | Choi et al. [35] | 12 | GK SRS | 28.5 | 43 | 100 | 30 | 0 | 0 | Attanasio et al. [36] | 30 | GK SRS | 20 | 46 | 100 | 30 at 5 years | 0 | 6.7 | Jane et al. [37] | 64 | GK SRS | 15 | >18 | NA | 36 | 0 | 28 | Castinetti et al. [38] | 82 | GK SRS | 26 | 49.5* | NA | 17 | 1.2 | 17 | Gutt et al. [39] | 44 | GK SRS | 23 | 22 | 100 | 48 | NA | NA | Kobayashi et al. [40] | 67 | GK SRS | 18,9 | 63 | 100 | 17 | 11 | 15 | Jezkov et al. [41] | 96 | GK SRS | 32 | 53.7 | 100 | 44 at 5 years | 0 | 27.1 | Voges et al. [42] | 64 | LINAC SRS | 16,5 | 54.3 | 97 | 14 and 33 at 3 and 5 years | 1.4 | 13 and 18 at 3 and 5 years | Petit et al. [43] | 22 | Proton SRS | 20 CGE | 75.6 | 100 | 59 | 0 | 38 | Pollock et al. [44] | 46 | GK SRS | 20 | 63 | 100 | 11 and 60 at 2 and 5 years | 0 | 33 at 5 years | Vik-Mo et al. [45] | 53 | GK SRS | 26.5 | 67 | 100 | 58 and 86 at 5 and 10 years | 3.8 | 10 at 5 years | Jagannathan et al. [46] | 95 | GK SRS | 22 | 57 | 98 | 36 and 47 at 3 and 5 years | 4 | 34 | Losa et al. [47] | 83 | GK SRS | 21,5 | 69 | 97 | 52 and 85 at 5 and 10 years | 0 | 10 at 10 years | Ronchi et al. [48] | 35 | GK SRS | 20 | 114 | 100 | 15 and 46 at 5 and 10 years | 0 | 69 | Wan et al. [49] | 103 | GK SRS | 21,4 | 67 | 95 | 37 | 0 | 6 | Hayashi et al. [50] | 25 | GK SRS | 25.2 | 36 | 100 | 40 | 0 | 0 | Iwai et al. [51] | 26 | GK SRS | 20 | 84 | 96 | 17 and 47 at 5 and 10 years | 0 | 8 | Milker-Zabel et al. [55] | 20 | FSRT | 52.2 | 61 | 100 | 80 at 5 years | 5 | 15 | Colin et al. [56] | 31** | FSRT | 50.4 | 80 | 99 | 20 and 50 at 5 and 10 years | 0 | 37 | Minniti et al.[57] | 18** | FSRT | 45 | 39 | 98 | 50 at 5 years* | 0 | 22 | Imran et al. [58] | 12 | FSRT | 50 | 28.5 | 92 | 33 | 0 | 8 | Roug et al. [59] | 34 | FSRT | 54 | 45 | 91 | 36 at 5 years | NA | 29 |
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NA not assessed.
*mean followup; **acromegalic patients included in series of FSRT for either secreting or non secreting pituitary tumors.
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