Acoustic neuroma secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Secondary prevention strategies following acoustic neuroma treatment include follow-up MRI scans. | [[Prevention (medical)|Secondary prevention]] strategies following acoustic neuroma treatment include follow-up [[Magnetic resonance imaging|MRI scans]]. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
The | The approach for follow-up studies after treatment and [[diagnosis]] is uncertain and there is not enough [[data]] to support specific recommendations. Due to the potentially slow growth of acoustic neuroma, prolonged follow-up is necessary.<ref>{{Cite journal | ||
* | | author = [[Jing Zou]] & [[Timo Hirvonen]] | ||
*A follow-up MRI is performed within 6-12 months after surgical excision to document | | title = "Wait and scan" management of patients with vestibular schwannoma and the relevance of non-contrast MRI in the follow-up | ||
* | | journal = [[Journal of otology]] | ||
| volume = 12 | |||
| issue = 4 | |||
| pages = 174–184 | |||
| year = 2017 | |||
| month = December | |||
| doi = 10.1016/j.joto.2017.08.002 | |||
| pmid = 29937853 | |||
}}</ref> | |||
* [[Patient|Patients]] being managed with [[observation]] and with no tumor growth should be scanned yearly for 10 years and then every 3 - 5 years. [[Audiometry]] should also be performed on a regular basis.<ref>{{Cite journal | |||
| author = [[Ian F. Dunn]], [[Wenya Linda Bi]], [[Srinivasan Mukundan]], [[Bradley N. Delman]], [[John Parish]], [[Tyler Atkins]], [[Anthony L. Asher]] & [[Jeffrey J. Olson]] | |||
| title = Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Role of Imaging in the Diagnosis and Management of Patients With Vestibular Schwannomas | |||
| journal = [[Neurosurgery]] | |||
| volume = 82 | |||
| issue = 2 | |||
| pages = E32–E34 | |||
| year = 2018 | |||
| month = February | |||
| doi = 10.1093/neuros/nyx510 | |||
| pmid = 29309686 | |||
}}</ref> | |||
*A follow-up [[MRI]] is performed within 6 - 12 months after [[Surgery|surgical]] [[excision]] to document complete [[tumor]] removal. | |||
*Follow-up [[Magnetic resonance imaging|MRI]] should be obtained at 5 years and at 10 years, assuming complete [[tumor]] removal. | |||
*If the findings on the 10-year follow-up [[Magnetic resonance imaging|MRI scan]] are normal, further [[imaging]] should be performed only if clinical circumstances require it. | |||
*[[Patients]] treated with [[Radiation therapy|radiotherapy]] and with no tumor growth should be scanned yearly for 10 years and then every 2 years | |||
==References== | ==References== | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Types of cancer]] | [[Category:Types of cancer]] | ||
[[Category:Disease] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Otolaryngology]] | |||
[[Category:Neurology]] | |||
[[Category:Neurosurgery]] |
Latest revision as of 19:37, 26 April 2019
Acoustic neuroma Microchapters | |
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Acoustic neuroma secondary prevention On the Web | |
American Roentgen Ray Society Images of Acoustic neuroma secondary prevention | |
Risk calculators and risk factors for Acoustic neuroma secondary prevention | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Secondary prevention strategies following acoustic neuroma treatment include follow-up MRI scans.
Secondary Prevention
The approach for follow-up studies after treatment and diagnosis is uncertain and there is not enough data to support specific recommendations. Due to the potentially slow growth of acoustic neuroma, prolonged follow-up is necessary.[1]
- Patients being managed with observation and with no tumor growth should be scanned yearly for 10 years and then every 3 - 5 years. Audiometry should also be performed on a regular basis.[2]
- A follow-up MRI is performed within 6 - 12 months after surgical excision to document complete tumor removal.
- Follow-up MRI should be obtained at 5 years and at 10 years, assuming complete tumor removal.
- If the findings on the 10-year follow-up MRI scan are normal, further imaging should be performed only if clinical circumstances require it.
- Patients treated with radiotherapy and with no tumor growth should be scanned yearly for 10 years and then every 2 years
References
- ↑ Jing Zou & Timo Hirvonen (2017). ""Wait and scan" management of patients with vestibular schwannoma and the relevance of non-contrast MRI in the follow-up". Journal of otology. 12 (4): 174–184. doi:10.1016/j.joto.2017.08.002. PMID 29937853. Unknown parameter
|month=
ignored (help) - ↑ Ian F. Dunn, Wenya Linda Bi, Srinivasan Mukundan, Bradley N. Delman, John Parish, Tyler Atkins, Anthony L. Asher & Jeffrey J. Olson (2018). "Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Role of Imaging in the Diagnosis and Management of Patients With Vestibular Schwannomas". Neurosurgery. 82 (2): E32–E34. doi:10.1093/neuros/nyx510. PMID 29309686. Unknown parameter
|month=
ignored (help)