Review Article

Stereotactic Irradiation of GH-Secreting Pituitary Adenomas

Table 1

Summary of results of recent series on SRS for GH-secreting pituitary adenomas.

Authorspatients NoType of SRSTotal dose Gyfollowup median (months)Tumor control (%)Hormone normalization (%)Late toxicity (%)
VisualHypopituitarism

Morange-Ramos et al. [23] 15 GK SRS 28 20 NA 20 5 16
Lim et al. [24]20GK SRS252692.53055
Landolt et al. [25]16GK SRS2517NA5000
Kim et al. [26]11GK SRS28.727NA3500
Inoue et al. [27]12GK SRS21>249458NANA
Mokry et al. [28]10GK SRS1646100310NA
Izawa et al. [29]29GK SRS22.5>61004100
Zhang et al. [30]68GK SRS3132NA401.34
Landolt et al. [31]31GK SRS2519.2NA69NANA
Ikeda et al. [32]17GK SRS2558NA8200
Pollock et al. [33]26GK SRS203610047016
Swords et al. [34]13LINAC SRS8–15251003500
Choi et al. [35]12GK SRS28.5431003000
Attanasio et al. [36]30GK SRS204610030 at 5 years06.7
Jane et al. [37]64GK SRS15>18NA36028
Castinetti et al. [38]82GK SRS2649.5*NA171.217
Gutt et al. [39]44GK SRS232210048NANA
Kobayashi et al. [40]67GK SRS18,963100171115
Jezkov et al. [41]96GK SRS3253.710044 at 5 years027.1
Voges et al. [42]64LINAC SRS16,554.39714 and 33 at 3 and 5 years1.413 and 18 at 3 and 5 years
Petit et al. [43]22Proton SRS20 CGE75.610059038
Pollock et al. [44]46GK SRS206310011 and 60 at 2 and 5 years033 at 5 years
Vik-Mo et al. [45]53GK SRS26.56710058 and 86 at 5 and 10 years3.810 at 5 years
Jagannathan et al. [46]95GK SRS22579836 and 47 at 3 and 5 years434
Losa et al. [47]83GK SRS21,5699752 and 85 at 5 and 10 years010 at 10 years
Ronchi et al. [48]35GK SRS2011410015 and 46 at 5 and 10 years069
Wan et al. [49]103GK SRS21,467953706
Hayashi et al. [50]25GK SRS25.2361004000
Iwai et al. [51]26GK SRS20849617 and 47 at 5 and 10 years08
Milker-Zabel et al. [55]20FSRT52.26110080 at 5 years515
Colin et al. [56]31**FSRT50.4809920 and 50 at 5 and 10 years037
Minniti et al.[57]18**FSRT45399850 at 5 years*022
Imran et al. [58]12FSRT5028.5923308
Roug et al. [59]34FSRT54459136 at 5 yearsNA29

NA not assessed.
*mean followup; **acromegalic patients included in series of FSRT for either secreting or non secreting pituitary tumors.