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重复伽马刀近距离放射治疗在复发性高级别胶质瘤长期管理中的应用:一例报告

Repeat GammaTile Brachytherapy in the Long-Term Management of Recurrent High-Grade Glioma: A Case Report.

作者信息

Zhang Jeff F, Mix Michael D, Shapiro Anna, Babu Harish

机构信息

Neurological Surgery, Upstate University Hospital, Syracuse, USA.

Radiation Oncology, Upstate University Hospital, Syracuse, USA.

出版信息

Cureus. 2024 Dec 3;16(12):e75053. doi: 10.7759/cureus.75053. eCollection 2024 Dec.

DOI:10.7759/cureus.75053
PMID:39759633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11698532/
Abstract

Over the past two decades, despite the emergence of various novel therapies for glioblastoma, patient survival outcomes remain poor, particularly in the recurrent stage of the disease. Cesium-131 (Cs-131) brachytherapy presents a promising treatment option for patients with newly diagnosed and recurrent brain neoplasms, enabling the initiation of radiation therapy at the time of tumor resection. This approach eliminates the typical delay in therapy following surgery and the need for multiple return visits for fractionated external beam radiotherapy. This report describes a patient who underwent repeat Cs-131 brachytherapy implantations in the surgical cavity following the resection of a recurrent glioblastoma, achieving a good quality of life and survival of over 36 months.

摘要

在过去二十年中,尽管出现了各种针对胶质母细胞瘤的新型疗法,但患者的生存结果仍然很差,尤其是在疾病的复发阶段。铯-131(Cs-131)近距离放射治疗为新诊断和复发性脑肿瘤患者提供了一种有前景的治疗选择,能够在肿瘤切除时就开始放射治疗。这种方法消除了手术后典型的治疗延迟以及分次外照射放疗所需的多次复诊。本报告描述了一名复发性胶质母细胞瘤切除后在手术腔中接受重复Cs-131近距离放射治疗植入的患者,该患者获得了良好的生活质量并存活了超过36个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/384a6ae1196b/cureus-0016-00000075053-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/b165191414c3/cureus-0016-00000075053-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/19adf3d5722b/cureus-0016-00000075053-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/6810e8b9ea58/cureus-0016-00000075053-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/d21324aed164/cureus-0016-00000075053-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/2d95eaaab161/cureus-0016-00000075053-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/917e2876a364/cureus-0016-00000075053-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/384a6ae1196b/cureus-0016-00000075053-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/b165191414c3/cureus-0016-00000075053-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/19adf3d5722b/cureus-0016-00000075053-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/6810e8b9ea58/cureus-0016-00000075053-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/d21324aed164/cureus-0016-00000075053-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/2d95eaaab161/cureus-0016-00000075053-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/917e2876a364/cureus-0016-00000075053-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/11698532/384a6ae1196b/cureus-0016-00000075053-i07.jpg

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本文引用的文献

1
Cesium-131 brachytherapy for the treatment of brain metastases: Current status and future perspectives.铯-131 近距离放疗治疗脑转移瘤:现状与展望。
J Clin Neurosci. 2023 Mar;109:57-63. doi: 10.1016/j.jocn.2023.01.010. Epub 2023 Feb 6.
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Surgically targeted radiation therapy (STaRT) trials for brain neoplasms: A comprehensive review.脑肿瘤的手术靶向放射治疗(STaRT)试验:全面综述。
Neuro Oncol. 2022 Nov 2;24(Suppl 6):S16-S24. doi: 10.1093/neuonc/noac130.
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GammaTile: Comprehensive Review of a Novel Radioactive Intraoperative Seed-Loading Device for the Treatment of Brain Tumors.
伽马Tile:用于治疗脑肿瘤的新型放射性术中种子植入装置的综合综述
Cureus. 2022 Oct 6;14(10):e29970. doi: 10.7759/cureus.29970. eCollection 2022 Oct.
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GammaTile® brachytherapy in the treatment of recurrent glioblastomas.伽马刀近距离放射疗法治疗复发性胶质母细胞瘤
Neurooncol Adv. 2021 Dec 27;4(1):vdab185. doi: 10.1093/noajnl/vdab185. eCollection 2022 Jan-Dec.
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Resection with intraoperative cesium-131 brachytherapy as salvage therapy for recurrent brain tumors.采用术中铯-131近距离放射疗法切除作为复发性脑肿瘤的挽救性治疗。
J Neurosurg. 2022 Jan 21;137(4):924-930. doi: 10.3171/2021.10.JNS211886. Print 2022 Oct 1.
6
Cs-131 brachytherapy for patients with recurrent glioblastoma combined with bevacizumab avoids radiation necrosis while maintaining local control.131Cs 近距离放疗联合贝伐珠单抗治疗复发性胶质母细胞瘤可避免放射性坏死,同时保持局部控制。
Brachytherapy. 2020 Sep-Oct;19(5):705-712. doi: 10.1016/j.brachy.2020.06.013.
7
GammaTile: Surgically targeted radiation therapy for glioblastomas.伽玛刀:用于治疗脑胶质瘤的手术靶向放射治疗。
Future Oncol. 2020 Oct;16(30):2445-2455. doi: 10.2217/fon-2020-0558. Epub 2020 Jul 3.
8
Resection and permanent intracranial brachytherapy using modular, biocompatible cesium-131 implants: results in 20 recurrent, previously irradiated meningiomas.采用模块化、生物相容性铯-131 植入物进行切除和永久性颅内近距离放射治疗:20 例复发性、先前接受过放疗的脑膜瘤的结果。
J Neurosurg. 2018 Dec 21;131(6):1819-1828. doi: 10.3171/2018.7.JNS18656. Print 2019 Dec 1.
9
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JAMA. 2017 Dec 19;318(23):2306-2316. doi: 10.1001/jama.2017.18718.
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Failure pattern following complete resection plus radiotherapy and temozolomide is at the resection margin in patients with glioblastoma.胶质母细胞瘤患者在完全切除加放疗和替莫唑胺治疗后,失败模式发生在切除边缘。
J Neurooncol. 2013 Jan;111(1):19-23. doi: 10.1007/s11060-012-0983-4. Epub 2012 Oct 10.