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首页> 外文期刊>Cancer Management and Research >Stereotactic Radiotherapy for Parasagittal and Parafalcine Meningiomas: Patient Selection and Special Considerations
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Stereotactic Radiotherapy for Parasagittal and Parafalcine Meningiomas: Patient Selection and Special Considerations

机译：用于防阳碱和Parafalcine Meningiomas的立体定向放疗：患者选择和特殊考虑

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Treatment options for intracranial meningiomas are surgical resection alone, surgery followed by adjuvant radiation therapy (RT), or exclusive RT. Parasagittal and parafalcine meningiomas are a subgroup of meningeal disease located close to the vascular structures. Considering the frequent venous invasion, a complete resection is not possible in the majority of cases, and even if a Simpson Grade I resection can be performed, the risk of recurrence is relevant. To date, few studies are focused on parasagittal and parafalcine meningiomas. Because of their specific related issues, particular considerations on decision-making process, outcome, and toxicity follow-up are mandatory. In fact, parasagittal and parafalcine meningiomas require a clear-cut radiological assessment, as well as a tailored toxicity risk evaluation. Moreover, similarly to other meningioma sites, also for parasagittal and parafalcine ones, a standardization of local control, toxicity, and quality of life evaluation is needed in order to lead to a pooled analysis of the results. In this context, our aim was to review the literature data regarding the role of both single-session and multisession radiosurgery (RS), and stereotactic radiotherapy (SRT) for parasagittal and parafalcine meningioma management, summarizing available data on safety and efficacy. It was also discussed how RS and SRT can be performed in a setting of evolving views concerning the treatment paradigm of the parasagittal and parafalcine meningiomas.
机译：颅内脑膜瘤的治疗方案单独进行手术切除，手术后跟佐剂放射治疗（RT），或独家RT。 Parasagittal和Parafalcine Meningiomas是近距离血管结构的脑膜病亚组。考虑到常见的静脉入侵，在大多数情况下，不可能完全切除，即使可以进行辛普森等级，也可以进行复发，复发风险是相关的。迄今为止，很少有研究侧重于放伞菌和Parafalcine Meningiomas。由于其特定的相关问题，关于决策过程，结果和毒性随访的特殊考虑是强制性的。事实上，放缓和Parafalcine Meningiomas需要清除清除的放射性评估，以及量身定制的毒性风险评估。此外，与其他脑膜瘤位点类似，也适用于促剖视和帕拉布碱，需要局部控制，毒性和寿命评估的质量，以导致汇总分析结果。在这种情况下，我们的目的是审查关于单会和多次放射外科（RS）和封面和Parafalcine Meningioma管理的立体定向放射治疗（SRT）的作用的文献数据，总结了有关安全性和疗效的可用数据。还讨论了RS和SRT如何在涉及解析术和Parafalcine Meningiomas的治疗范例的情况下进行。

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