• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

伽玛刀放射治疗后出现远隔效应致广泛脑膜瘤病完全消失:病例报告

Abscopal effect leading to complete disappearance of extensive meningiomatosis after gamma knife radiosurgery: Case report.

作者信息

Aldakhil Salman, Mathieu David

机构信息

Surgery/Neurosurgery, Université de Sherbrooke, Sherbrooke, QC, Canada.

出版信息

Front Surg. 2022 Jul 14;9:908645. doi: 10.3389/fsurg.2022.908645. eCollection 2022.

DOI:10.3389/fsurg.2022.908645
PMID:35910481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9329627/
Abstract

BACKGROUND AND IMPORTANCE

The abscopal effect is partial or complete tumor response in a separate site that was not the target of prior local treatment. There have been only 50 well-documented cases from 1960 to 2014. Our case is the first one of presumed low-grade meningioma demonstrating a possible response the abscopal effect after single-fraction stereotactic radiosurgery.

CLINICAL PRESENTATION

A case of a 70-years-old female with extensive intracranial meningiomatosis who had complete disappearance of all tumors after gamma knife radiosurgery targeting the right petroclival part of the tumor. She had complete resolution of her symptoms, which included hearing loss, headache, ataxia and dysphagia.

CONCLUSION

The abscopal effect is an extremely rare phenomenon after local radiation therapy of a remote tumor. Our case demonstrates that this can occur in remote meningiomas after single fraction GKRS of a different tumor.

摘要

背景与重要性

远隔效应是指在先前局部治疗未针对的另一个部位出现部分或完全的肿瘤反应。从1960年至2014年仅有50例记录完备的病例。我们的病例是首例推测为低级别脑膜瘤,在单次立体定向放射外科治疗后显示出可能的远隔效应反应。

临床表现

一名70岁女性患有广泛颅内脑膜瘤病,在对肿瘤右侧岩斜部进行伽玛刀放射外科治疗后,所有肿瘤完全消失。她的症状完全缓解,这些症状包括听力丧失、头痛、共济失调和吞咽困难。

结论

远隔效应是局部放疗远处肿瘤后极其罕见的现象。我们的病例表明,在不同肿瘤单次伽玛刀放射外科治疗后,这种情况可发生于远处脑膜瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/9ccdac9d20c5/fsurg-09-908645-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/cb83940e8b53/fsurg-09-908645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/9b0bd4d38e7b/fsurg-09-908645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/9ccdac9d20c5/fsurg-09-908645-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/cb83940e8b53/fsurg-09-908645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/9b0bd4d38e7b/fsurg-09-908645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b677/9329627/9ccdac9d20c5/fsurg-09-908645-g003.jpg

相似文献

1
Abscopal effect leading to complete disappearance of extensive meningiomatosis after gamma knife radiosurgery: Case report.伽玛刀放射治疗后出现远隔效应致广泛脑膜瘤病完全消失:病例报告
Front Surg. 2022 Jul 14;9:908645. doi: 10.3389/fsurg.2022.908645. eCollection 2022.
2
Analysis of the results of recurrent intracranial meningiomas treated with re-radiosurgery.复发性颅内脑膜瘤再行放射外科治疗的结果分析
Clin Neurol Neurosurg. 2017 Feb;153:93-101. doi: 10.1016/j.clineuro.2016.12.014. Epub 2016 Dec 29.
3
Gamma Knife radiosurgery for sellar and parasellar meningiomas: a multicenter study.伽玛刀放射外科治疗鞍区和鞍旁脑膜瘤:一项多中心研究。
J Neurosurg. 2014 Jun;120(6):1268-77. doi: 10.3171/2014.2.JNS13139. Epub 2014 Mar 28.
4
Gamma Knife radiosurgery for intracranial benign meningiomas: follow-up outcome in 130 patients.伽玛刀放射外科治疗颅内良性脑膜瘤:130 例患者的随访结果。
Neurosurg Focus. 2019 Jun 1;46(6):E7. doi: 10.3171/2019.3.FOCUS1956.
5
Successful management of an intraluminal superior sagittal sinus meningioma causing elevated intracranial pressure using gamma knife radiosurgery in subacute setting: A case report.在亚急性期使用伽玛刀放射外科成功治疗导致颅内压升高的管腔内上矢状窦脑膜瘤:一例报告。
Surg Neurol Int. 2021 Mar 8;12:86. doi: 10.25259/SNI_562_2020. eCollection 2021.
6
Hearing preservation after Gamma Knife radiosurgery for cerebellopontine angle meningiomas.经伽玛刀放射外科治疗桥小脑角脑膜瘤后的听力保留。
J Neurosurg. 2018 Dec 1;129(Suppl1):38-46. doi: 10.3171/2018.7.GKS181308.
7
Multimodal treatment of parasagittal meningiomas: a single-center experience.矢状窦旁脑膜瘤的多模态治疗:单中心经验。
J Neurosurg. 2017 Dec;127(6):1249-1256. doi: 10.3171/2016.9.JNS161859. Epub 2017 Feb 3.
8
Outcomes of stereotactic radiosurgery for foramen magnum meningiomas: an international multicenter study.经颅立体定向放射外科治疗枕骨大孔脑膜瘤的疗效:一项国际多中心研究。
J Neurosurg. 2018 Aug;129(2):383-389. doi: 10.3171/2017.3.JNS163008. Epub 2017 Sep 1.
9
Gamma Knife radiosurgery of large skull base meningiomas.大型颅底脑膜瘤的伽玛刀放射外科治疗。
J Neurosurg. 2015 Feb;122(2):363-72. doi: 10.3171/2014.10.JNS14198. Epub 2014 Dec 5.
10
Gamma Knife radiosurgery for neurofibromatosis type 2-associated meningiomas: a 22-year patient series.伽玛刀放射外科治疗2型神经纤维瘤病相关脑膜瘤:一项22年的患者系列研究
J Neurooncol. 2016 Dec;130(3):553-560. doi: 10.1007/s11060-016-2257-z. Epub 2016 Nov 5.

引用本文的文献

1
Non-targeted effects of stereotactic radiotherapy: a review of the evidence coming from the clinical field.立体定向放射治疗的非靶向效应:来自临床领域证据的综述
Explor Target Antitumor Ther. 2025 Feb 13;6:1002290. doi: 10.37349/etat.2025.1002290. eCollection 2025.
2
A Comprehensive Revision of Radiation Immunotherapy and the Abscopal Effect in Central Nervous System Metastases: Reassessing the Frontier.中枢神经系统转移瘤中放射免疫疗法及远隔效应的全面修订:重新审视前沿领域
Curr Issues Mol Biol. 2024 Oct 2;46(10):11075-11085. doi: 10.3390/cimb46100658.
3
Regression of all untreated lesions in multifocal low-grade meningioma following fractionated stereotactic radiotherapy-abscopal effect or spontaneous regression? : Case report and review of the literature.

本文引用的文献

1
Ionizing radiation results in a mixture of cellular outcomes including mitotic catastrophe, senescence, methuosis, and iron-dependent cell death.电离辐射会导致多种细胞后果,包括有丝分裂灾难、衰老、自噬和铁依赖性细胞死亡。
Cell Death Dis. 2020 Nov 23;11(11):1003. doi: 10.1038/s41419-020-03209-y.
2
Possible Abscopal Effect Observed in Frontal Meningioma After Localized IMRT on Posterior Meningioma Resection Cavity Without Adjuvant Immunotherapy.在未进行辅助免疫治疗的情况下,对后颅窝脑膜瘤切除腔进行局部调强放射治疗(IMRT)后,在额部脑膜瘤中观察到可能的远隔效应。
Front Oncol. 2019 Oct 18;9:1109. doi: 10.3389/fonc.2019.01109. eCollection 2019.
3
多灶性低级别脑膜瘤经分次立体定向放射治疗后所有未治疗病灶的消退——远隔效应还是自发消退?:病例报告及文献复习
Strahlenther Onkol. 2025 Feb;201(2):191-196. doi: 10.1007/s00066-024-02248-0. Epub 2024 Jun 13.
4
Interdisciplinary Therapeutic Approaches to Atypical and Malignant Meningiomas.非典型和恶性脑膜瘤的跨学科治疗方法
Cancers (Basel). 2023 Aug 25;15(17):4251. doi: 10.3390/cancers15174251.
5
Abscopal Effect on Bone Metastases from Solid Tumors: A Systematic Review and Retrospective Analysis of Challenge within a Challenge.实体瘤骨转移的远隔效应:挑战中的挑战之系统评价与回顾性分析
Biomedicines. 2023 Apr 12;11(4):1157. doi: 10.3390/biomedicines11041157.
Immunological and vascular characteristics in cavernous sinus meningioma.
海绵窦脑膜瘤的免疫和血管特征。
J Clin Neurosci. 2019 Sep;67:198-203. doi: 10.1016/j.jocn.2019.06.003. Epub 2019 Jun 15.
4
Dramatic Shrinkage with Reduced Vascularization of Large Meningiomas After Cessation of Progestin Treatment.孕激素治疗停止后大型脑膜瘤显著缩小并伴有血管化减少
World Neurosurg. 2017 May;101:814.e7-814.e10. doi: 10.1016/j.wneu.2017.03.013. Epub 2017 Mar 12.
5
Stereotactic Radiation Therapy Augments Antigen-Specific PD-1-Mediated Antitumor Immune Responses via Cross-Presentation of Tumor Antigen.立体定向放射治疗通过肿瘤抗原的交叉呈递增强抗原特异性 PD-1 介导的抗肿瘤免疫反应。
Cancer Immunol Res. 2015 Apr;3(4):345-55. doi: 10.1158/2326-6066.CIR-14-0196. Epub 2014 Dec 19.
6
Radiation-induced immunogenic modulation of tumor enhances antigen processing and calreticulin exposure, resulting in enhanced T-cell killing.辐射诱导的肿瘤免疫原性调节增强了抗原加工和钙网蛋白暴露,从而增强了T细胞杀伤作用。
Oncotarget. 2014 Jan 30;5(2):403-16. doi: 10.18632/oncotarget.1719.
7
Abscopal effects of radiation therapy: a clinical review for the radiobiologist.放射治疗的远隔效应:放射生物学家的临床综述。
Cancer Lett. 2015 Jan 1;356(1):82-90. doi: 10.1016/j.canlet.2013.09.018. Epub 2013 Oct 12.
8
IFN-γ mediates the antitumor effects of radiation therapy in a murine colon tumor.IFN-γ 介导辐射疗法在小鼠结肠肿瘤中的抗肿瘤作用。
Am J Pathol. 2013 Jun;182(6):2345-54. doi: 10.1016/j.ajpath.2013.02.041. Epub 2013 Apr 12.
9
Radiation-induced CXCL16 release by breast cancer cells attracts effector T cells.辐射诱导乳腺癌细胞释放CXCL16可吸引效应T细胞。
J Immunol. 2008 Sep 1;181(5):3099-107. doi: 10.4049/jimmunol.181.5.3099.
10
Meningioma and hormonal influences.脑膜瘤与激素影响。
Climacteric. 2003 Dec;6(4):285-92.