Patterns of recurrence in glioma patients after interstitial irradiation and chemotherapy: report of three cases.
Three patients with malignant gliomas who developed dissemination of tumor at the time of recurrence are presented. All three patients received combination therapy including conventional radiotherapy and interstitial radiation therapy followed by systemic BCNU chemotherapy. A review of the literature on the development of glioma metastases and an analysis of the possible mechanisms of this uncommon growth pattern are presented.
Heros
D O
DO
Department of Neurology, New England Medical Center, Boston, Massachusetts.
Renkens
K
K
Kasdon
D L
DL
Adelman
L S
LS
D000328:Adult; D001918:Brachytherapy; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy*; D002330:Carmustine / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005260:Female; D005910:Glioma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009192:Myelography; D009364:Neoplasm Recurrence, Local; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy; D014057:Tomography, X-Ray Computed
D002330:Carmustine