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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 77(3)

Gamma knife radiosurgery of craniopharyngioma: results of 30 cases treated at Nagoya Radiosurgery Center

https://doi.org/10.18999/nagjms.77.3.447
https://doi.org/10.18999/nagjms.77.3.447
a86dfd3b-e702-42cf-b5e3-4dbb13cd8d25
名前 / ファイル ライセンス アクション
24_Kobayashi.pdf 24_Kobayashi.pdf (380.8 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-09-07
タイトル
タイトル Gamma knife radiosurgery of craniopharyngioma: results of 30 cases treated at Nagoya Radiosurgery Center
著者 Kobayashi, Tatsuya

× Kobayashi, Tatsuya

WEKO 60419

Kobayashi, Tatsuya

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Tsugawa, Takahiko

× Tsugawa, Takahiko

WEKO 60420

Tsugawa, Takahiko

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Hatano, Manabu

× Hatano, Manabu

WEKO 60421

Hatano, Manabu

Search repository
Hashizume, Chisa

× Hashizume, Chisa

WEKO 60422

Hashizume, Chisa

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Mori, Yoshimasa

× Mori, Yoshimasa

WEKO 60423

Mori, Yoshimasa

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Shibamoto, Yuta

× Shibamoto, Yuta

WEKO 60424

Shibamoto, Yuta

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キーワード
主題Scheme Other
主題 craniopharyngioma
キーワード
主題Scheme Other
主題 gamma knife radiosurgery
キーワード
主題Scheme Other
主題 tumor recurrence
キーワード
主題Scheme Other
主題 hypothalamic involvement
抄録
内容記述 Evaluation of 30 cases of craniopharyngioma treated by Gamma Knife at Nagoya Radiosurgery Center (NRC), Nagoya Kyoritsu Hospital since July, 2004 has been made. The mean volume of the tumor was 2.64 ml, which was treated with the marginal dose of 11.7 Gy. Mean follow-up period was 79.9 months. The effects were evaluated by MRI findings, neuro-endocrine and hypothalamic signs and symptoms, complications and KPS every 3~6 months. As the results, complete remission was obtained in 8, partial remission in 12, no change in 6, progression in 3, in which two died by hypothalamic invasion. Tumor response rate was 68.9% and control rate 87.9%. Actuarial survival was 96% at 5 and 86% at 10 years. However, progression free survival was 76% and 76%, respectively. Using marginal dose of 11.7Gy to a smaller tumor, better control without complications has been obtained. KPS was excellent in 14, good in 9, fair in 2, poor in 1 and unknown in a case. Finally, there were three deaths, where two were died of tumor progression and one by infirmity. The progression of hypothalamic symptoms other than diabetes insipidus were found in two cases. Volume reduction and effective dose setting will be important for the improvement of QOL and survival after combined microsurgery and radiosurgery of craniopharyngioma.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.77.3.447
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 77, 号 3, p. 447-454, 発行日 2015-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/773.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/22988
識別子タイプ HDL
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