BACKGROUND: The purpose of this report is to present long-term outcomes of gamma knife radiosurgery for @entity44 after debulking surgery. METHODS: Three @entity1 with @entity44 had initial target volumes of 5.4, 18.7, and 5.1 cm(3), respectively, and were treated by gamma knife radiosurgery between 1993 and 2004. Marginal doses of 17, 12.5, and 13.5 Gy, respectively, were delivered to the @entity5 at isodose levels of 50%, 50%, and 62%, respectively. The first @entity1 received radiosurgery after surgical removal and conventional radiotherapy. The second @entity1 received similar management, including surgery and radiotherapy, with @entity5 recurrence. Two additional operations and subsequent radiosurgery were performed on this @entity1 . Based on the favorable results of the first 2 @entity1 , we performed radiosurgery instead of conventional radiotherapy after subtotal surgical removal in the last @entity1 . By reviewing literatures concerning the therapeutic modalities and the long-term results of our 3 @entity1 , we discuss the role of radiosurgery in treating @entity44 . RESULTS: A follow-up period of 121, 89, and 31 months, respectively, demonstrated @entity5 volume reduction rates of 70%, 89%, and 48%, respectively. No evidence of further @entity5 progression and no radiosurgery-related complication or morbidity was noted. The school performances of the affected @entity1 are all above average. CONCLUSIONS: Gamma knife radiosurgery provides a safe and effective alternative as the adjuvant treatment of @entity44 after surgical debulking. Previous conventional radiotherapy does not alter final @entity5 control. Radiosurgery should be considered when @entity41 growth continues with no related symptoms or evaluations of @entity5 markers during follow-up.

Gamma knife radiosurgery for XXXX --long-term results and review of literature.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity41 :: ('MESH:D018365', 'Disease') :: ['residual tumor'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity44 :: ('MESH:D013724', 'Disease') :: ['intracranial mature teratoma']
@entity44 :: (MESH:D013724,Disease) :: ['intracranial mature teratoma']
