title: Radiation therapy for leptomeningeal cancer.
abstract: Radiotherapy has multiple roles in the treatment of leptomeningeal cancer. While it is uncommon for patients to experience regression of neurologic deficits due to leptomeningeal cancer, focal radiotherapy often provides significant palliation of pain, increased intracranial pressure and other focal symptoms. Focal radiotherapy may also be used to eliminate blockages of cerebrospinal fluid (CSF) and allow for safe administration of intrathecal chemotherapy. Craniospinal irradiation (CSI) is most often used as prophylaxis for patients at high risk of leptomeningeal tumor dissemination, but may result in symptom palliation and prolonged disease control for patients with active leptomeningeal tumor.
authors.affiliation: University of Wisconsin Medical School, Madison, WI 53792, USA.
authors.forename: Minesh
authors.initials: M
authors.lastname: Mehta
authors.forename: Kristin
authors.initials: K
authors.lastname: Bradley
mesh_terms: D001921:Brain / Q000528:radiation effects; D006801:Humans; D007427:Intracranial Pressure; D008577:Meningeal Neoplasms / Q000134:cerebrospinal fluid / Q000503:physiopathology* / Q000532:radiotherapy*; D010146:Pain; D010166:Palliative Care; D011878:Radiotherapy / Q000379:methods; D013116:Spinal Cord / Q000528:radiation effects