Faculty, Staff and Student Publications
Publication Date
1-1-2025
Journal
Head & Neck
DOI
10.1002/hed.27887
PMID
39073252
PMCID
PMC11729999
PubMedCentral® Posted Date
1-1-2026
PubMedCentral® Full Text Version
Author MSS
Abstract
Background: Treatment for dural recurrence of olfactory neuroblastoma (ONB) is not standardized. We assess the outcomes of stereotactic body radiotherapy (SBRT) in this population.
Methods: ONB patients with dural recurrences treated between 2013 and 2022 on a prospective registry were included. Tumor control, survival, and patient-reported quality of life were analyzed.
Results: Fourteen patients with 32 dural lesions were evaluated. Time to dural recurrence was 58.3 months. Thirty lesions (94%) were treated with SBRT to a median dose of 27 Gy in three fractions. Two patients (3 of 32 lesions; 9%) developed in-field radiographic progression, five patients (38%) experienced progression in non-contiguous dura. Two-year local control was 85% (95% CI: 51-96%). There were no >grade 3 acute toxicities and 1 case of late grade 3 brain radionecrosis.
Conclusion: In this largest study of SBRT reirradiation for ONB dural recurrence to date, high local control rates with minimal toxicity were attainable.
Keywords
Humans, Radiosurgery, Female, Male, Esthesioneuroblastoma, Olfactory, Prospective Studies, Aged, Middle Aged, Neoplasm Recurrence, Local, Nose Neoplasms, Aged, 80 and over, Nasal Cavity, Cohort Studies, Quality of Life, Dura Mater, Adult, dural recurrence, esthesioneuroblastoma, olfactory neuroblastoma, SBRT, stereotactic radiation
Published Open-Access
yes
Recommended Citation
Goodman, Christopher D; DeMonte, Franco; Nguyen, Theresa P; et al., "A Prospective Cohort Study on Stereotactic Radiotherapy in the Management of Dural Recurrence of Olfactory Neuroblastoma" (2025). Faculty, Staff and Student Publications. 5658.
https://digitalcommons.library.tmc.edu/uthgsbs_docs/5658
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