Dr. Redmond, Johns Hopkins Pituitary Day

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MEETING NOTES : Dr. Redmond, Johns Hopkins Pituitary Day

Meeting Created:September 29, 2012, 12:07 PM

Baltimore

radiotherapy

indications

• recurrence
• persistent hormone secretion
• inoperable

tumors repair more slowly than normal cells

IMRT Intensity modulated radiation therapy

stereotactic radiosurgerymore radiation beams, greater precisionvery small tumors 1-5 treatmentslarger 5-6 weeks

150-300 radiation beams target area

Synergy machinefor divided course of radiation

cyberknife for 1-5 treatments

short-termfatiguehair losstearful or dry eyeheadachenausea

long-termcataractsdecreased hormonesdamage to vision (rare)second tumor (rare)

tumor control 90%hormone normalization 60%