Comments on brachycurie therapy of cerebral tumours

Acta Neurochir Suppl (Wien). 1989:46:94-6. doi: 10.1007/978-3-7091-9029-6_23.

Abstract

Between 1980 and 1987 thirty patients harbouring cerebral neuroepithelial tumours have been treated with stereotactic brachycurie therapy (18 males, 12 females), either alone (n = 16) or combined with surgery (n = 7) and/or external radiotherapy (n = 10). There were 25 slowly growing tumours (grade I n = 1; grade II n = 24). The remaining 5 were malignant tumours (grade III n = 3; grade IV n = 2). The radioactive sources utilized were 192Ir in 26 cases and 125I in 4. Twenty-eight patients underwent permanent implantation, the other two received temporary irradiation with removable after-loaded catheters. Target volume was less than 15 cm3 in 6 cases, between 16-60 cm3 in 17 and more than 60 cm3 in 7. Tumour dose at the periphery of the target volume was: 70-100 Gy in 19 and 100-130 Gy in 9 of the cases treated with permanent implantation; the patients irradiated with removable implants received 40-60 Gy in 5-7 days. General follow-up ranged between 0.3 and 6.9 years (mean = 2.5 years). The results are analyzed with reference to the following aspects: 1) natural history of the disease; 2) modalities and goal of the treatment; 3) place of brachy therapy as sole treatment and combined with the other available therapeutical means.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Astrocytoma / radiotherapy
  • Brachytherapy / methods*
  • Brain Neoplasms / radiotherapy*
  • Brain Neoplasms / surgery
  • Combined Modality Therapy
  • Female
  • Follow-Up Studies
  • Glioma / radiotherapy
  • Humans
  • Male
  • Middle Aged
  • Oligodendroglioma / radiotherapy
  • Radiotherapy Dosage
  • Stereotaxic Techniques