Abstract
The authors report the long-term outcome of conventional radiation therapy (RT) in six cases of central neurocytoma (CN). Between 1985 and 1992, six patients were treated with RT for residual tumors or for prevention of recurrence after surgery. The median follow-up period of radiological and clinical status were 171 (range: 128–229) and 202 months (range: 165–227), respectively. Tumors disappeared in three and reduced in three patients at the last follow-up. One-mortality case due to radiation necrosis and one radiation-induced malignancy occurred. White matter degeneration and cortical atrophy were noticed with slow progression of performance deterioration in two patients. Conventional RT seemed to effectively control residual CN after surgery. However, more sophisticated radiation techniques should be applied to minimize the late sequela.
Similar content being viewed by others
References
Hassoun J, Gambarelli D, Grisoli F et al (1982) Central neurocytoma. An electron-microscopic study of two cases. Acta Neuropathol 56:151–156
Kim DG, Chi JG, Park SH et al (1992) Intraventricular neurocytoma: clinicopathological analysis of seven cases. J Neurosurg 76:759–765
Bertalanffy A, Roessler K, Koperek O et al (2005) Recurrent central neurocytomas. Cancer 104:135–142
Kim DG, Paek SH, Kim IH et al (1997) Central neurocytoma: the role of radiation therapy and long term outcome. Cancer 79:1995–2002
Kulkarni V, Rajshekhar V, Haran RP et al (2002) Long-term outcome in patients with central neurocytoma following stereotactic biopsy and radiation therapy. Br J Neurosurg 16:126–132
Nakagawa K, Aoki Y, Sakata K et al (1993) Radiation therapy of well-differentiated neuroblastoma and central neurocytoma. Cancer 72:1350–1355
Rades D, Schild SE, Ikezaki K et al (2003) Defining the optimal dose of radiation after incomplete resection of central neurocytomas. Int J Radiat Oncol Biol Phys 55:373–377
Fujimaki T, Matsuno A, Sasaki T et al (1997) Proliferative activity of central neurocytoma: measurement of tumor volume doubling time, MIB-1 staining index and bromodeoxyuridine labeling index. J Neurooncol 32:103–109
Pollock BE, Stafford SL (2001) Stereotactic radiosurgery for recurrent central neurocytoma: case report. Neurosurgery 48:441–443
Becker M, Schroth G, Zbaren P et al (1997) Long-term changes induced by high-dose irradiation of the head and neck region: imaging findings. Radiographics 17:5–26
Anderson RC, Elder JB, Parsa AT et al (2001) Radiosurgery for the treatment of recurrent central neurocytomas. Neurosurgery 48:1231–1237. discussion 1237–1238
Bertalanffy A, Roessler K, Dietrich W et al (2001) Gamma knife radiosurgery of recurrent central neurocytomas: a preliminary report. J Neurol Neurosurg Psychiatry 70:489–493
Cobery ST, Noren G, Friehs GM et al (2001) Gamma knife surgery for treatment of central neurocytomas. Report of four cases. J Neurosurg 94:327–330
Hara M, Aoyagi M, Yamamoto M et al (2003) Rapid shrinkage of remnant central neurocytoma after gamma knife radiosurgery: a case report. J Neurooncol 62:269–273
Javedan SP, Manwaring K, Smith KA (2003) Treatment of posterior third ventricular central neurocytoma with endoscopic biopsy, endoscopic third ventriculostomy and stereotactic radiosurgery. Minim Invasive Neurosurg 46:165–168
Kim CY, Paek SH, Kim DG (2003) Linear accelerator radiosurgery for central neurocytoma: a case report. J Neurooncol 61:249–254
Martin JM, Katati M, Lopez E et al (2003) Linear accelerator radiosurgery in treatment of central neurocytomas. Acta Neurochir (Wien) 145:749–754. discussion 754
Maruyama I, Sadato N, Waki A et al (1999) Hyperacute changes in glucose metabolism of brain tumors after stereotactic radiosurgery: a PET study. J Nucl Med 40:1085–1090
Moussa R, Abadjian G, Nader M et al (2004) Central neurocytoma. Four patients. Neurochirurgie 50:639–646
Leenstra JL, Rodriguez FJ, Frechette CM et al (2007) Central neurocytoma: management recommendations based on a 35-year experience. Int J Radiat Oncol Biol Phys 67:1145–1154
Rades D, Schild SE (2006) Value of postoperative stereotactic radiosurgery and conventional radiotherapy for incompletely resected typical neurocytomas. Cancer 106:1140–1143
Acknowledgments
This work was partially supported by a grant from Cancer Research Institute of Seoul National University and Clinical Research institute of Seoul National University Hospital.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Paek, S.H., Han, JH., Kim, J.W. et al. Long-term outcome of conventional radiation therapy for central neurocytoma. J Neurooncol 90, 25–30 (2008). https://doi.org/10.1007/s11060-008-9622-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11060-008-9622-5