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What to do?

On the evidence available:

no data to support the

superiority

of SRS over FSRT for

patients with pituitary tumours

Dose and fractionation should be chosen:

size

position of the pituitary adenoma

single-fraction SRS at doses of 16–25 Gy

small

pituitary

adenoma away from the optic chiasm

FSRT is preferred over SRS for lesions >2.5–3 cm in size

and/or involving the anterior optic pathway.

24/10/2017