EANO guideline on the diagnosis and treatment of vestibular schwannoma.

diagnosis radiotherapy surgery treatment vestibular schwannoma

Journal

Neuro-oncology
ISSN: 1523-5866
Titre abrégé: Neuro Oncol
Pays: England
ID NLM: 100887420

Informations de publication

Date de publication:
11 01 2020
Historique:
pubmed: 11 9 2019
medline: 11 2 2021
entrez: 11 9 2019
Statut: ppublish

Résumé

The level of evidence to provide treatment recommendations for vestibular schwannoma is low compared with other intracranial neoplasms. Therefore, the vestibular schwannoma task force of the European Association of Neuro-Oncology assessed the data available in the literature and composed a set of recommendations for health care professionals. The radiological diagnosis of vestibular schwannoma is made by magnetic resonance imaging. Histological verification of the diagnosis is not always required. Current treatment options include observation, surgical resection, fractionated radiotherapy, and radiosurgery. The choice of treatment depends on clinical presentation, tumor size, and expertise of the treating center. In small tumors, observation has to be weighed against radiosurgery, in large tumors surgical decompression is mandatory, potentially followed by fractionated radiotherapy or radiosurgery. Except for bevacizumab in neurofibromatosis type 2, there is no role for pharmacotherapy.

Identifiants

pubmed: 31504802
pii: 5555902
doi: 10.1093/neuonc/noz153
pmc: PMC6954440
doi:

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

31-45

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Roland Goldbrunner (R)

Center of Neurosurgery, Department of General Neurosurgery, University of Cologne, Cologne, Germany.

Michael Weller (M)

Department of Neurology, University Hospital and University of Zurich, Zurich, Switzerland.

Jean Regis (J)

Department of Functional and Stereotactic Neurosurgery and Radiosurgery, Timone University Hospital, Marseille, France.

Morten Lund-Johansen (M)

Department of Neurosurgery, Bergen University Hospital and Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.

Pantelis Stavrinou (P)

Center of Neurosurgery, Department of General Neurosurgery, University of Cologne, Cologne, Germany.

David Reuss (D)

Department of Neuropathology, University Hospital Heidelberg, Heidelberg, Germany.

D Gareth Evans (DG)

Manchester Centre for Genomic Medicine and NW Laboratory Genetics Hub, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Florence Lefranc (F)

Department of Neurosurgery, Erasmus Hospital, Free University of Brussels, Brussels, Belgium.

Kita Sallabanda (K)

Department of Neurosurgery, University Hospital San Carlos, Complutense University of Madrid, Madrid, Spain; University Hospital San Carlos, CyberKnife Centre, Genesiscare Madrid, Madrid, Spain.

Andrea Falini (A)

Department of Neuroradiology, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy.

Patrick Axon (P)

Cambridge Skull Base Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Olivier Sterkers (O)

Department of Otolaryngology, Unit of Otology, Auditory implants and Skull Base Surgery, Public Assistance-Paris Hospital, Pitié-Salpêtrière Group Hospital, Paris, France.

Laura Fariselli (L)

Unit of Radiotherapy, Neurological Institute Carlo Best, Milan, Italy.

Wolfgang Wick (W)

Neurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.

Joerg-Christian Tonn (JC)

Department of Neurosurgery Ludwig-Maximilians University and DKTK partner site, University of Munich, Munich, Germany.

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Classifications MeSH