open access

Vol 21, No 4 (2016)
Special Issue Papers
Published online: 2016-07-01
Submitted: 2015-08-03
Get Citation

Radiotherapy for vestibular schwannoma: Review of recent literature results

Giuseppina Apicella, Marina Paolini, Letizia Deantonio, Laura Masini, Marco Krengli
DOI: 10.1016/j.rpor.2016.02.002
·
Rep Pract Oncol Radiother 2016;21(4):399-406.

open access

Vol 21, No 4 (2016)
Special Issue Papers
Published online: 2016-07-01
Submitted: 2015-08-03

Abstract

Background

The management of vestibular schwannoma is still a quite controversial issue and can include wait and see policy, surgery and radiotherapy, mainly with stereotactic technique. The purpose of this study is to review the results of recent clinical series treated by radiotherapy.

Materials and methods

Literature search was performed by Pubmed and Scopus by using the words "vestibular schwannoma, acoustic neuroma, radiotherapy, radiosurgery".

Results

Management options of VS include wait and see, surgery and radiotherapy. In case of small lesions, literature data report local control rates higher than 90% after radiosurgery (SRS) similar those of surgical techniques. Recent literature reviews show favourable functional outcome by using SRS. Several literature data support the use of fractionated stereotactic radiotherapy (FSRT) in case of large inoperable lesions.

Conclusion

Radiotherapy plays a relevant role in the treatment of VS. In small-size lesions, SRS can guarantee similar local control and potentially better function outcome compared to surgery. In case of large and irregularly shaped lesions, FSRT can be the used when surgery is not feasible.

Abstract

Background

The management of vestibular schwannoma is still a quite controversial issue and can include wait and see policy, surgery and radiotherapy, mainly with stereotactic technique. The purpose of this study is to review the results of recent clinical series treated by radiotherapy.

Materials and methods

Literature search was performed by Pubmed and Scopus by using the words "vestibular schwannoma, acoustic neuroma, radiotherapy, radiosurgery".

Results

Management options of VS include wait and see, surgery and radiotherapy. In case of small lesions, literature data report local control rates higher than 90% after radiosurgery (SRS) similar those of surgical techniques. Recent literature reviews show favourable functional outcome by using SRS. Several literature data support the use of fractionated stereotactic radiotherapy (FSRT) in case of large inoperable lesions.

Conclusion

Radiotherapy plays a relevant role in the treatment of VS. In small-size lesions, SRS can guarantee similar local control and potentially better function outcome compared to surgery. In case of large and irregularly shaped lesions, FSRT can be the used when surgery is not feasible.

Get Citation

Keywords

Vestibular schwannoma; Acoustic neuroma; Stereotactic radiosurgery; Radiotherapy

About this article
Title

Radiotherapy for vestibular schwannoma: Review of recent literature results

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 21, No 4 (2016)

Pages

399-406

Published online

2016-07-01

DOI

10.1016/j.rpor.2016.02.002

Bibliographic record

Rep Pract Oncol Radiother 2016;21(4):399-406.

Keywords

Vestibular schwannoma
Acoustic neuroma
Stereotactic radiosurgery
Radiotherapy

Authors

Giuseppina Apicella
Marina Paolini
Letizia Deantonio
Laura Masini
Marco Krengli

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