Applications of radiotherapy and radiosurgery in the management of pediatric Cushing's disease: a review of the literature and our experience (Retracted Article. See vol 103, pg 173, 2011)

作者：Jagannathan Jay^*; Kanter Adam S; Olson Claire; Sherman Jonathan H; Laws Edward R Jr; Sheehan Jason P

来源：Journal of Neuro-Oncology, 2008, 90(1): 117-124.

DOI：10.1007/s11060-008-9641-2

• Cushing's disease
• outcomes
• radiation
• pediatrics
• pituitary
• radiosurgery
• surgery

Surgical extirpation of pituitary adenomas is considered the mainstay of therapy in pediatric patients with Cushing's disease. However, a small subset of patients will require adjuvant therapy either due to tumor invasiveness, or disease recurrence. Conventional radiation therapy (or radiotherapy) delivers ionizing radiation to control hormonally active cells in fractionated doses (spread out over time) in order to give normal cells time to recover, while radiosurgery involves focusing a high dose of radiation structures in a single treatment session to the adenoma while generally sparing the normal gland and surrounding of any substantial amount of radiation. This paper reviews the effectiveness of radiation in the treatment of pediatric Cushing's disease.

• 出版日期2008-10