Stereotactic body radiation therapy for an unresectable FGF23-secreting tumor of the cervical spine: A case report and literature review.

IF 0.8 Q4 SURGERY Journal of radiosurgery and SBRT Pub Date : 2022-01-01
Kathryn Hockemeyer, Juhi M Purswani, Joseph K Kim, Babak Givi, Elcin Zan, Donato Pacione, Maksim Shapiro, Ilya Laufer, Jill B Feffer, Joshua S Silverman
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引用次数: 0

Abstract

We present the case of a 65-year-old male with tumor-induced osteomalacia (TIO) caused by an FGF23-secreting phosphaturic tumor of C2 treated definitively with stereotactic body radiation therapy (SBRT) and kyphoplasty. The patient exhibited notable reduction in FGF23 6 weeks following radiotherapy. He also received a dose of the FGF23 monoclonal antibody, burosumab. We discuss the case with emphasis on radiation in the management of TIO. This case demonstrates SBRT as a well-tolerated local treatment option for the management of unresectable FGF23-producing tumors.

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立体定向放射治疗不可切除的颈椎分泌fgf23肿瘤:1例报告并文献复习。
我们报告一名65岁男性,由分泌fgf23的C2型磷化肿瘤引起的肿瘤性骨软化症(TIO),经立体定向全身放射治疗(SBRT)和后凸成形术治疗。放疗后6周患者FGF23明显降低。他还接受了一剂FGF23单克隆抗体burrosumab。我们着重讨论了放射治疗在TIO治疗中的作用。该病例表明SBRT是一种耐受良好的局部治疗选择,可用于治疗不可切除的fgf23肿瘤。
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8.30%
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