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Long-term outcome after gamma knife radiosurgery of advanced jugulotympanic glomus tumour: a case report

Published online by Cambridge University Press:  18 October 2016

Federico Ampil
Affiliation:
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
Anil Nanda
Affiliation:
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
Eduardo Gonzalez-Toledo
Affiliation:
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
Moiz Vora
Affiliation:
Department of Pathology, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
Corresponding
E-mail address:

Abstract

Aim

Jugulotympanic glomus tumours (JTGT) are highly vascular neoplasms composed of paraganglionic tissue of neural crest origin. Because of the neoplasm’s slow growth potential, any claimed efficacy associated with applied treatment must be supported by long-term effects observed in patients.

Methodology

This report presents a case of advanced stage JTGT in a 66-year-old woman treated by γ knife radiosurgery (GKRS).

Results

Sustained tumour control with preservation of lower cranial nerve function was observed for more than 10 years after completion of treatment.

Conclusion

GKRS even with large intracranial extension of JTGT in patients may help to achieve long-term disease control with minimal morbidity.

Type
Case Study
Copyright
© Cambridge University Press 2016 

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References

1. Gandia-Gonzalez, ML, Kusak, ME, Moreno, NM, Sarraga, JG, Rey, G, Alvarez, RM. Jugulotympanic paragangliomas treated with gamma knife radiosurgery: a single-center review of 58 cases. J Neurosurg 2014; 121: 11581165.CrossRefGoogle ScholarPubMed
2. Liscak, R, Urgosik, D, Chytka, T et al. Leksell gamma knife radiosurgery of the jugulotympanic glomus tumour: long-term results. J Neurosurg 2014; 121 (suppl 2): 198202.Google ScholarPubMed
3. Chen, PG, Nguyen, JH, Payne, SC, Sheehan, JP, Hashisaki, GT. Treatment of glomus jugulare tumours with gamma knife radiosurgery. Laryngoscope 2010; 120: 18561862.CrossRefGoogle ScholarPubMed
4. Lim, M, Bower, R, Nangiana, JS, Adler, JR Jr, Chang, SD. Radiosurgery for glomus jugulare tumours. Technol Cancer Res Treat 2007; 6: 419423.CrossRefGoogle Scholar
5. Jansen, JC, van den Bergh, R, Kuiper, A, van der Mey, AGL, Zwinderman, AH, Cornelisse, CJ. Estimation of growth rate in patients with head and neck paragangliomas influences the treatment proposal. Cancer 2000; 88: 28112816.3.0.CO;2-7>CrossRefGoogle ScholarPubMed
6. Frijns, JH, van Dulken, H, van der Mey, AGL et al. Does intervention improve the natural course of glomus tumours? A series of 108 patients seen in a 32-year period. Ann Otol Rhinol Laryngol 1992; 101: 635642.CrossRefGoogle Scholar

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