
==== Front
Neurooncol Adv
Neurooncol Adv
noa
Neuro-Oncology Advances
2632-2498
Oxford University Press US

10.1093/noajnl/vdae090.107
vdae090.107
Final Category: Radiation Therapy Advances
AcademicSubjects/MED00300
AcademicSubjects/MED00310
RADT-15 STEREOTACTIC RADIOSURGERY FOR ADENOID CYSTIC CARCINOMA BRAIN METASTASES: A SINGLE INSTITUTION RETROSPECTIVE STUDY
Kattaa Ahed Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Hori Yusuke Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Akhavan-Sigari Amirhossein Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Persad Amit Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Tayag Armine Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Ustrzynski Louisa Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Emrich Sara Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Park David Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

Chang Steven Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA

8 2024
02 8 2024
02 8 2024
6 Suppl 1 2024 SNO/ASCO CNS Metastases Conference i32i33
© The Author(s) 2024. Published by Oxford University Press, the Society for Neuro-Oncology and the European Association of Neuro-Oncology.
2024
https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

Abstract

BACKGROUND

Adenoid cystic carcinoma (ACC) is a malignant neoplasm arising from the minor and major salivary glands that tends to spread by perivascular and perineural routes. Brain metastases (BM) secondary to ACC are very rare, and the standard management strategy has not been well reported due to the rarity. Especially, only a few case reports described the use of stereotactic radiosurgery (SRS) for BM from ACC.

METHODS

We retrospectively reviewed cases of BM from ACC treated with SRS at our institute between 1998 and 2023. A total of 40 lesions from 5 patients were included, and the patient and lesion background variables were collected. Tumor control was defined based on radiological response to SRS as a complete response (CR), partial response (PR), stable disease (SD), and progressive disease (PD) per RECIST guidelines.

RESULTS

The median overall survival was 12.0 months (interquartile range (IQR): 6.5–33.5 months). The mean age at treatment was 51.2 years (standard deviation (SD): 7.8 years) and 60% were male patients. The mean maximum diameter of the lesions was 11.1 mm (SD: 10.9 mm). The median dose delivered was 24 Gy (IQR: 22– 24Gy). The MRIs at 3 and 6 months demonstrated reductions in mean maximum diameters at 5.5 mm and 3.3 mm, respectively. The treatment responses at the first follow-up were; CR/PR/SD/PD: 10/19/11/0. At the last follow-up, 5 lesions had local progression, with one lesion at 39 months, and 4 lesions at 11 months after CK SRS, while 16 lesions remained CR. The cumulative 3-months, 6-months, and 12-months local control rates were 100%, 100%, and 87.5%, respectively.

CONCLUSION

To date, this is the largest study examining the efficacy of SRS for ACC BM. Our results showed the sufficient local control following the treatment. Further studies are required to confirm our results.
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pmc
