Would you offer post-operative radiation for a glomus tumor of the spine following decompressive laminectomy and incomplete resection?

Patient with circumferential thoracic spine tumor on imaging, with appearance of hemangioma. Surgical pathology demonstrated glomus tumor.

Would PET-DOTATATE imaging be indicated?

Answer from: Radiation Oncologist at Academic Institution

[68Ga]-DOTATATE PET/CT has demonstrated excellent diagnostic value in the localization of SDHx-related and sporadic head and neck paragangliomas. Significantly more lesions were identified on [68Ga]-DOTATATE PET/CT compared to all other functional and anatomical imaging modalities Janssen et al., PM...

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Radiation Oncologist at Barrow Neurological Insititute
Agree - in my experience, DOTATATE PET/CT has help...

Answer from: Radiation Oncologist at Academic Institution

Interesting question. I’ve treated many paragangliomas over 40 plus years. I’ve never encountered this scenario. Short answer, yes. 45 Gy/25 fractions.

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Would you offer post-operative radiation for a glomus tumor of the spine following decompressive laminectomy and incomplete resection?

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