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Table 1 Summary of results of recent series on fractionated radiotherapy for GH-secreting pituitary adenoma

From: Radiation techniques for acromegaly

Authors

type of

patients

total dose

follow-up

tumor control

biochemical remission

   late toxicity (%)

 

RT

 

(Gy)

median (months)

%

%

visual

hypopituitarism

Barkan et al., 1997 [8]

CRT

38

46

80

NA

5

NA

NA

Thalassinos et al., 1998 [9]

CRT

46

45-50

86

100

25 and 21 at 5 and 10 years

0

30 at 10 years

Barrande et al., 2000 [10]

CRT

128

52

137

NA

35 and 53 at 5 and 10 years

3

50 at 10 years

Biermasz et al., 2000 [11]

CRT

36

40

130

NA

40 and 61 at 5 and 10 years

0

29 and 54 at 5 and 10 years

Cozzi et al., 2001 [12]

CRT

49

45

168

96

10 at 10 years

4

12

Epaminonda et al., 2001 [13]

CRT

67

40-75

120

NA

65 at 15 years

0

NA

Jenkins et al., 2006 [15]

CRT

656

45

84

NA

36 and 64 at 5 and 10 years

0

58 at 10 years°

      

74 at 15 years

  

Minniti et al., 2005 [14]

CRT

45

45

144

95

29 and 52 at 5 and 10 years

0

45 at 10 years

      

77 at 15 years

  

Milker-Zabel et al.,2004 [26]

FSRT

20

52.2

61

100

55

5

15

Colin et al., 2005 [27]

FSRT

31*

50.4

80

99

20 and 50 at 5 and 10 years

0

37

Minniti et al., 2006 [28]

FSRT

18*

45

39

98

50 at 5 years*

0

22

Roug et al., 2010 [29]

FSRT

34

54

45

91

30

NA

29

  1. CRT, conventional radiotherapy; FSRT, fractionated stereotactic radiotherapy.
  2. *acromegalic patients included in series of FSRT for either secreting or non secreting pituitary tumors.
  3. °hypogonadism 58%, hypothyroidism 27%, and hyposurrenalism 15%, respectively.