Stereotactic radiosurgery for squamous cell carcinoma of the nasopharynx.
Stereotactic radiosurgery using the gamma unit represents a unique neurosurgical treatment method for the management of selected intracranial vascular malformations and tumors. During a closed-skull single-session procedure that focuses 201 individual beams of gamma irradiation, a high-radiation dose is delivered to the lesion, with a steep dose fall-off peripherally. In order to maintain accuracy of delivery, the target must remain fixed in space; hence the skull is engaged by rigid external fixation during treatment. In this report, we document the first extracranial lesion treated with radiosurgery, a recurrent squamous cell carcinoma of Rosenmüller's fossa, and discuss the possible role of radiosurgery in carefully selected head and neck malignancies.
Kondziolka
D
D
Department of Neurological Surgery, Presbyterian-University Hospital, University of Pittsburgh School of Medicine, PA 15213.
Lunsford
L D
LD
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000532:radiotherapy*; D009364:Neoplasm Recurrence, Local; D011879:Radiotherapy Dosage; D011881:Radiotherapy, Computer-Assisted; D013238:Stereotaxic Techniques