Acoustic neuroma secondary prevention: Difference between revisions
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{{CMG}}{{AE}}{{Simrat}} | {{CMG}}{{AE}}{{Simrat}} | ||
==Overview== | ==Overview== | ||
Secondary prevention strategies following acoustic neuroma treatment include follow-up [[Magnetic resonance imaging|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]] | | author = [[Jing Zou]] & [[Timo Hirvonen]] | ||
| title = "Wait and scan" management of patients with vestibular schwannoma and the relevance of non-contrast MRI in the follow-up | | title = "Wait and scan" management of patients with vestibular schwannoma and the relevance of non-contrast MRI in the follow-up | ||
| Line 17: | Line 17: | ||
| pmid = 29937853 | | pmid = 29937853 | ||
}}</ref> | }}</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]] | | 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 | | 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 | ||
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| pmid = 29309686 | | pmid = 29309686 | ||
}}</ref> | }}</ref> | ||
*A follow-up MRI is performed within 6-12 months after surgical excision to document | *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== | ||
Latest revision as of 19:37, 26 April 2019
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Acoustic neuroma secondary prevention On the Web | |
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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)