Clinicopathological differences in radiation-induced organizing hematomas of the brain based on type of radiation treatment and primary lesions

التفاصيل البيبلوغرافية
العنوان: Clinicopathological differences in radiation-induced organizing hematomas of the brain based on type of radiation treatment and primary lesions
المؤلفون: Myung Sun Kim, Yoon Jin Cha, Jong-Hee Chang, Mina Park, Se Hoon Kim
المصدر: Journal of Pathology and Translational Medicine
Journal of Pathology and Translational Medicine, Vol 56, Iss 1, Pp 16-21 (2022)
بيانات النشر: The Korean Society of Pathologists/The Korean Society for Cytopathology, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Gamma-knife surgery, Histology, business.industry, medicine.medical_treatment, Radiation induced, Arteriovenous malformation, medicine.disease, Pathology and Forensic Medicine, Metastasis, Lesion, Hemangioma, Radiation therapy, Radiation-induced organizing hematoma, Cavernous hemangioma, Gamma knife surgery, Glioma, Latency, Pathology, medicine, RB1-214, Original Article, medicine.symptom, business, Nuclear medicine
الوصف: Background: Radiation-induced organizing hematoma (RIOH) is a sporadic form of cavernous hemangioma (CH) that occurs after cerebral radiation. RIOH lesions are distinct histologically from de novo CH; however, detailed research on this subject is lacking. In the present study, the clinical and histological features of RIOHs were evaluated based on causative lesions. Methods: The present study included 37 RIOHs confirmed by surgical excision from January 2009, to May 2020, in Yonsei Severance Hospital. All cases were divided into subgroups based on type of radiation treatment (gamma knife surgery [GKS], n = 24 vs. conventional radiation therapy [RT], n = 13) and pathology of the original lesion (arteriovenous malformation, n = 14; glioma, n = 12; metastasis, n = 4; other tumors, n = 7). The clinicopathological results were compared between the groups. Results: Clinical data of multiplicity, latency, and size and wall thickness of the original tumors and RIOHs were analyzed. The GKS group showed shorter latency (5.85 ± 4.06 years vs. 11.15 ± 8.27 years, p = .046) and thicker tumor wall (693.7 ± 565.7 μm vs. 406.9 ± 519.7 μm, p = .049) than the conventional RT group. Significant difference was not found based on original pathology. Conclusions: RIOH is more likely to occur earlier with thick tumor wall in subjects who underwent GKS than in patients who underwent conventional RT. These results indicate the clinical course of RIOH differs based on type of treatment and might help determine the duration of follow-up.
اللغة: English
تدمد: 2383-7845
2383-7837
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::293b0e1fe524cc76196a0d3d1319ecd9
http://europepmc.org/articles/PMC8743802
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....293b0e1fe524cc76196a0d3d1319ecd9
قاعدة البيانات: OpenAIRE