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Principles and Practice of Stereotactic Radiosurgery pp 483–498Cite as

Skull Base Tumors

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Abstract

Radiosurgery in the base of skull region can be especially challenging due to immediate proximity of critical structures such as brainstem and critical nerves such as those of the optic system. This chapter should guide clinicians in understanding the technical possibilities, determining feasibility, and risks of radiosurgery as well as critical organ dose limits for primary or repeat radiosurgery in this region. Specifically, radiosurgery of rare tumors of this region such as chordomas and chondrosarcomas, glomus jugulare tumors, esthesioneuroblastomas and angiofibromas are discussed according to current literature. Many of these tumors are quite amenable to radiosurgery depending upon histology, size, and location. However, ideally, modern techniques of (sometimes multimodality) imaging should be used to determine precise tumor-extent prior to the recommendation for radiosurgery, as in general, tumors larger than 3 cm or those abutting critical structures may benefit more from alternative precision therapies.

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Authors and Affiliations

  1. Department of Radiation Oncology, MVZ Immed, Klinik Bad Trissl, Bad-Trissi Str. 76, Oberaudorf, Germany

    Reinhart A. J. Sweeney M.D., B.Sc.

  2. Department of Radiation Oncology, University Würzburg, Josef-Schneider Street 11, 97080, Würzburg, Germany

    Matthias Guckenberger M.D.

Authors
  1. Reinhart A. J. Sweeney M.D., B.Sc.
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  2. Matthias Guckenberger M.D.
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Correspondence to Reinhart A. J. Sweeney M.D., B.Sc. .

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Editors and Affiliations

  1. Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, USA

    Lawrence S. Chin

  2. Dept. of Radiation Oncology, Univ. of Maryland School of Medicine, Baltimore, Maryland, USA

    William F. Regine

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Sweeney, R.A.J., Guckenberger, M. (2015). Skull Base Tumors. In: Chin, L., Regine, W. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8363-2_38

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  • DOI: https://doi.org/10.1007/978-1-4614-8363-2_38

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