Trends in the Management of Non-Vestibular Skull Base and Intracranial Schwannomas.
cranial nerves
head and neck
non-vestibular
schwannoma
skull base
Journal
Cancer management and research
ISSN: 1179-1322
Titre abrégé: Cancer Manag Res
Pays: New Zealand
ID NLM: 101512700
Informations de publication
Date de publication:
2021
2021
Historique:
received:
18
10
2020
accepted:
30
12
2020
entrez:
27
1
2021
pubmed:
28
1
2021
medline:
28
1
2021
Statut:
epublish
Résumé
The aim of this review is to analyze the latest trends in the management of non-vestibular skull base and intracranial schwannomas in order to optimize tumor control and quality of life. Non-vestibular cranial nerve schwannomas are rare lesions, representing 5-10% of cranial nerve schwannomas. Management decisions should be individualized depending on tumor size, location and associated functional deficits. Generally, large sized schwannomas exerting significant mass effect with increased intracranial pressure are treated surgically. In some cases, even after optimal skull base resection, it is not possible to achieve a gross total resection because tumor location and extent and/or to reduce morbidity. Thus, subtotal resection followed by stereotactic radiosurgery or fractioned radiotherapy offers an alternative approach. In certain cases, stereotactic radiosurgery or radiotherapy alone achieves good tumor control rates and less morbidity to gross total resection. Finally, given the slow growth rate of most of these tumors, observation with periodic radiographic follow-up approach is also a reasonable alternative for small tumors with few, if any, symptoms.
Identifiants
pubmed: 33500660
doi: 10.2147/CMAR.S287410
pii: 287410
pmc: PMC7822088
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
463-478Informations de copyright
© 2021 Suárez et al.
Déclaration de conflit d'intérêts
Johannes A Langendijk reports non-financial support from RaySearch, grants, personal fees, and consultancy fees paid to UMCG Research BV from IBA, and that the Department of Radiation Oncology has research collaboration with IBA, RaySearch, Elekta, Siemens, and VisionRT, outside the submitted work. The authors report no conflicts of interest in this work.
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