Dive into the cutting-edge exploration of how stereotactic radiosurgery offers a promising avenue for treating recurrent skull base acinic cell carcinoma, through an illustrative case study that sheds light on this innovative approach.
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Role of stereotactic radiosurgery for recurrent skull base acinic cell carcinoma: illustrative case.
Yoshihira et al., J Neurosurg Case Lessons 2024
<!– DOI: 10.3171/CASE2476 //–>
https://doi.org/10.3171/CASE2476
This case report highlights the use of stereotactic radiosurgery (SRS) as a potential treatment alternative for acinic cell carcinomas (AcCCs) located at the skull base, a region where traditional surgery poses significant risks due to proximity to critical structures. The subject, a 71-year-old male with a history of AcCC, experienced tumor recurrence at the skull base 23 years after initial resection. He underwent endoscopic surgery followed by SRS targeting multiple tumor locations with a prescribed dose of 20 Gy. This approach led to a 12-year survival period without adverse effects, suggesting that SRS can offer effective local control, preserve function, and extend survival in skull base AcCC cases. This case contributes to the literature by proposing SRS as a viable option for managing recurrent AcCCs in anatomically challenging locations, though it underscores the need for further research to establish the treatment’s efficacy comprehensively.