<scp>Image‐guided</scp> robotic radiosurgery for glomus jugulare tumors—Multicenter experience and review of the literature
Felix Ehret, Markus Kufeld, Christoph Fürweger, Alfred Haidenberger, Christian Schichor, Ralph Lehrke, Susanne Fichte, Carolin Senger, Martin Bleif, Daniel Rueß, Maximilian I. Ruge, Jörg‐Christian Tonn, Alexander Muacevic, John‐Martin Hempel
Abstract
BACKGROUND: Glomus jugulare tumors (GJTs) are challenging to treat due to their vascularization and location. This analysis evaluates the effectiveness and safety of image-guided robotic radiosurgery (RRS) for GJTs in a multicenter study and reviews the existing radiosurgical literature. METHODS: We analyzed outcome data from 101 patients to evaluate local control (LC), changes in pretreatment deficits, and toxicity. Moreover, radiosurgical studies for GJTs have been reviewed. RESULTS: After a median follow-up of 35 months, the overall LC was 99%. Eighty-eight patients were treated with a single dose, 13 received up to 5 fractions. The median tumor volume was 5.6 cc; the median treatment dose for single-session treatments is 16 Gy, and for multisession treatments is 21 Gy. Fifty-six percentage of patients experienced symptom improvement or recovered entirely. CONCLUSIONS: RRS is an effective primary and secondary treatment option for GJTs. The available literature suggests that radiosurgery is a treatment option for most GJTs.