Skull Base. 2006 May;16(2):95-100. doi: 10.1055/s-2006-934112.
Conservative management of acoustic neuroma.
Skull base : official journal of North American Skull Base Society ... [et al.]
Abdulrahman Al Sanosi, Paul A Fagan, Nigel D W Biggs
Affiliations
Affiliations
- Department of Otolaryngology, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
PMID: 17077873
PMCID: PMC1502035 DOI: 10.1055/s-2006-934112
Abstract
AIM OF STUDY: To identify those patients with vestibular schwannoma (acoustic neuroma) in whom treatment becomes necessary.
METHOD: Retrospective chart review.
RESULT: A total of 205 patients with small tumors were followed for a mean of 40.8 months. The longest follow-up was 180 months. One hundred and ninety-seven patients had a follow-up of more than 12 months. Eight patients with a follow-up of less than 12 months were excluded from the study. In 136 patients (66.3%) the tumor did not grow. Forty-seven patients (23.9%) showed some evidence of slow growth. Eight of 197 patients (4%) had rapid growth and 6 patients (3%) had radiological evidence of tumor regression. Fifteen patients came to surgery. Five of these showed rapid growth, four developed ataxia in whom tumor growth was slow, three had ataxia without tumor growth, two patients developed brainstem compression, and one patient elected to proceed to surgery, although there were no tumor growth or symptoms.
CONCLUSION: Few patients with small tumors will come to surgery in the short term. Perhaps the majority of patients with such small tumors will not need surgery. Long-term follow-up studies of 20 years or more are required to be come more confident about the natural history of these tumors. This study continues.
References
- Neurosurgery. 1991 May;28(5):646-50; discussion 650-1 - PubMed
- Am J Otol. 1989 May;10(3):177-80 - PubMed
- Acta Radiol Suppl. 1986;369:182-5 - PubMed
- Otolaryngol Clin North Am. 1992 Jun;25(3):691-705 - PubMed
- Laryngoscope. 1993 Oct;103(10):1093-6 - PubMed
- Laryngoscope. 1994 Sep;104(9):1115-9 - PubMed
- Laryngoscope. 1985 Jul;95(7 Pt 1):766-70 - PubMed
- Laryngoscope. 1995 Aug;105(8 Pt 1):795-800 - PubMed
- Minim Invasive Neurosurg. 1998 Jun;41(2):86-92 - PubMed
- Neuroradiology. 1997 Aug;39(8):599-601 - PubMed
- Otolaryngol Head Neck Surg. 1993 Sep;109(3 Pt 1):482-7 - PubMed
- Neuroradiology. 1986;28(3):203-7 - PubMed
- Clin Otolaryngol Allied Sci. 1992 Oct;17(5):406-10 - PubMed
- Am J Otol. 1997 Sep;18(5):602-7 - PubMed
- J Laryngol Otol. 1993 Jan;107(1):4-5 - PubMed
- Laryngoscope. 1986 Aug;96(8):825-9 - PubMed
- Otolaryngol Clin North Am. 1992 Jun;25(3):499-520 - PubMed
- Acta Otolaryngol Suppl. 1988;452:26-33 - PubMed
- Am J Otol. 1989 May;10(3):174-6 - PubMed
- Am J Otol. 1999 Mar;20(2):244-8 - PubMed
- Otolaryngol Head Neck Surg. 1986 Mar;94(3):328-33 - PubMed
- Otolaryngol Head Neck Surg. 1993 Jan;108(1):1-10 - PubMed
- Otolaryngol Head Neck Surg. 1985 Apr;93(2):151-5 - PubMed
- Neurosurgery. 1996 Aug;39(2):260-4; discussion 264-6 - PubMed
- Laryngoscope. 1991 Feb;101(2):180-5 - PubMed
- Am J Otol. 1990 Jan;11(1):12-9 - PubMed
- Ann Otolaryngol Chir Cervicofac. 1985;102(1):19-29 - PubMed
- Clin Otolaryngol Allied Sci. 1999 Feb;24(1):13-8 - PubMed
- Acta Otolaryngol Suppl. 1997;529:56-8 - PubMed
- Otolaryngol Head Neck Surg. 1995 Jul;113(1):5-14 - PubMed
- Clin Otolaryngol Allied Sci. 1994 Dec;19(6):478-84 - PubMed
- Laryngoscope. 2005 Mar;115(3):450-4 - PubMed
- Neurosurgery. 1985 Jun;16(6):801-3 - PubMed
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