RADIOSURGERY BY X-KNIFE FOR RETROORBITAL METASTASIS FROM FIBROSARCOMA: A CASE REPORT
Abstract
A case report of retroorbital metastasis fibrosarcoma patient who suffered from painful exopthalmos of left eye was treated with linac based stereotactic radiosurgery (X- knife ), a technique that permits the precise delivery of a high dose of radiation from 6 MV linear accelerator to the target while sparing the normal tissue. The radiation dose was 20 Gy at the 75% isodose line encompassing the enhancing tumor. Four weeks after treatment, exophthalmos was almost disappeared and pain symptom was almost completely relieved. The CT scan showed marked regression of the tumor corresponding with clinical appearance, and almost disappeared at 10 weeks. The patient could tolerate well to the treatment procedure without any complications inherent to the technique Radiosurgery with X-knife is an effective and safe therapy for single palliative treatment of lacalized lesion of head and neck tumor.
Downloads
Metrics
References
Glazer LC, Harris GJ, Simons KB. Orbital metastasis as the presenting sign of Ca. breast. Ophthal Plast Reconstr Surg 1991;7:252-255.
Stefanyszyn MA, DeVita EG, Flanagen JC. Breast carcinoma metastatic to the orbit. Ophthal Plast Reconstr Surg 1987;3:43-47.
Van Der Heijden A. Twijnstra A, Lamers WP, et al. An unusual cause of diplopia in a cancer patient. Eur J Cancer 1991;27: 1315-1316. Burmeister BH, Benjamin CS,
Childs WJ. The management of metastases to eye and orbit from carcinoma of the breast. Aust NZ J Ophthalmol 1990;18:187-190.
Motto-Lippa L, JaKobiec FA, Iwamoto T. Pseudoinflammatory metastatic breast carcinoma of the orbit and lids. Ophthalmology 1981;88:- 575-580.
Hesselink JR, Davis KR, Weber AL, et al. Radiological evaluation of orbital metastases with emphasis on computed tomography. Radio- logy 1984;37:363-366.
Kagen AR. Radiation therapy in palliative cancer management. In: Perez CA, Brady AW. eds. Principles and Practice of Radiation Oncology. 2 nd ed. Philadelphia JB Lippincott company, 1992:1498.
Dobrowsky W. Treatment of choroid metastasis. Br J Radiol 1988;61:140-142.
Sagerman RH. Radiation therapy for orbital tumor. In: Hornblass A ed. Tumor of the ocular adnexa and orbit. St.Louis The CV Mosby, 1979:268.
Huh SH, Nisce LZ, Simpson LD, et al. Value of radiation therapy in the treatment of orbital metastasis. AJR 1974;120:589-594.
Panizzoni GA, Gasparini G, Dal Fior S, et al. Radiotherapeutic treatment for breast cancer choroidal metastasis. Tumori 1990;76:563-565.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The ASEAN Journal of Radiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)