YMJ. 2021; 37(2): 124-128 | |||
Stereotaktik Radyocerrahi (Cyberknife) ile Işınlanan Uterin Sarkomun Soliter Beyin Metastazı: Olgu SunumuSelvi Tabak Dinçer1, Emre Uysal1, Selma Şengiz Erhan2, Ferdi Aksaray11Sağlık Bilimleri Üniversitesi Okmeydanı Eğitim ve Araştırma Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul2Sağlık Bilimleri Üniversitesi Okmeydanı Eğitim ve Araştırma Hastanesi, Patoloji Kliniği, İstanbul Uterus leimyosarkom (ULMS) tanılı hastalarda beyin metastazı çok nadir görülür. Daha önce ULMS tanısıyla total abdominal hiseterektomi, bilateral salfingooferektomi, soliter akciğer metastazektomisi ve adjuvan 4 kür kemoterapi uygulanmış 41 yaşındaki kadın hasta multipl akciğer metastazları ile kliniğimize başvurdu. Multipl akciğer metastazı nedeniyle hastaya hedefe yöneİik tirozin kinaz inhibitörü olan pazopanib uygulanmıştır. A Single Brain Metastasis Of Uterine Sarcoma Irradıated With Robotic Assisted LINAC-based SRS (Cyberknife); A Case ReportSelvi Tabak Dinçer1, Emre Uysal1, Selma Şengiz Erhan2, Ferdi Aksaray11Department of Radiation Oncology, University of Health Sciences Okmeydanı Training and Research Hospital, İstanbul, Turkey2Department of Pathology, University of Health Sciences Okmeydanı Training and Research Hospital, İstanbul, Turkey Brain metastasis in uterine leiomyosarcoma (ULMS) is very rare. We report a 41-year-old woman with a history of ULMS who presented with multiple lung metastases, as she had undergone total abdominal hysterectomy, bilateral salpingooferectomy, solitary lung metastasectomy and 4 cycles of adjuvant chemotherapy. A multi-targeted tyrosine kinase inhibitor pazopanib was administered orally for recenty developed multiple lung metastases. She was followed for nearly 2 years without any treatment. As she complained of headaches, magnetic resonance imaging revealed a metastatic lesion in the vermis. Because the lesion was inaccessible, neurosurgery could not be performed, and it was instead elected to perform radiosurgery with Cyberknife. She died due to massive hepatic and lung metastases after completion of the brain radiosurgery. Keywords: Uterine leiomyosarcoma, brain metastasis, radiosurgery, CyberknifeSelvi Tabak Dinçer, Emre Uysal, Selma Şengiz Erhan, Ferdi Aksaray. A Single Brain Metastasis Of Uterine Sarcoma Irradıated With Robotic Assisted LINAC-based SRS (Cyberknife); A Case Report. YMJ. 2021; 37(2): 124-128 Sorumlu Yazar: Selvi Tabak Dinçer, Türkiye |
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