Successful Low-Dose Intracavitary Irradiation of a Rathke's Cleft Cyst with Colloidal Rhenium-186

J. Moringlane, C. Alexander, C. Kirsch
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引用次数: 8

Abstract

Symptomatic recurrence of an histologically verified intra- and suprasellar Rathke's cleft cyst (RCC) was observed 4 months following transsphenoidal microsurgery. The space-occupying cyst was treated by endocavitary irradiation with colloidal rhenium-186 via a previously implanted catheter with an attached subcutaneous reservoir. The calculated dose of 4.4 Gy was able to stop the production of cyst fluid. Follow-up after intracavitary irradiation extends over 13 months. The cyst, with an initial size of 3 x 3 x 4 cm, has been reduced to 1.1 x 1.06 x 1.2 cm. The production of cyst fluid has decreased from 25 - 30 ml within 2 months before treatment to zero. The patient's visual and mental status as well as her quality of life are normal.
胶体铼-186低剂量腔内照射Rathke裂隙囊肿成功
经蝶窦显微手术4个月后,经组织学证实的鞍内和鞍上拉克裂囊肿(RCC)有症状复发。通过预先植入的带有附着的皮下储液器的导管,用胶体铼-186进行腔内照射治疗占位性囊肿。计算剂量为4.4 Gy,可使囊液停止产生。腔内照射后随访超过13个月。囊肿最初大小为3 × 3 × 4 cm,现已缩小至1.1 × 1.06 × 1.2 cm。囊肿液的产生在治疗前2个月内从25 - 30毫升减少到零。患者视力、精神状态及生活质量均正常。
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来源期刊
Minimally Invasive Neurosurgery
Minimally Invasive Neurosurgery 医学-临床神经学
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