Summary and consensus in 7th International Conference on acoustic neuroma: An update for the management of sporadic acoustic neuromas.
Summary and consensus in 7th International Conference on acoustic neuroma: An update for the management of sporadic acoustic neuromas.
复制标题
DOI：
10.1016/j.wjorl.2016.10.002
复制
发表时间：
2016-12
期刊：
影响因子：
--
通讯作者：
Jia H
中科院分区：
文献类型：
--
作者：
Wu H;Zhang L;Han D;Mao Y;Yang J;Wang Z;Jia W;Zhong P;Jia H
散发性前庭神经鞘瘤是一种起源于耳蜗前庭神经的良性肿瘤。目前，各专科和医疗中心都在治疗该病，多学科合作是趋势。为了促进临床结果报告的统一标准，甚至是治疗适应症，在第七届国际听神经瘤会议期间提出并讨论了主要争议，并由会议委员会总结了协议。主要症状分级和肿瘤分期应注明其分类名称，使其具有可比性。前庭神经鞘瘤现代治疗的目标是提高患者的生活质量，降低死亡率，降低致残率，更好地保护神经功能。手术团队的经验和他们的偏好可能是影响结果的主要因素。由于缺乏放疗后长期随访的大量资料，加上显微外科技术的发展，目前除复发病例或老年患者外，放疗已不再被推荐。
Sporadic vestibular schwannoma (acoustic neuroma) is a benign tumor arising from cochleovestibular nerve. Nowadays, various specialties and medical centers are treating this disease, and the multidisciplinary collaboration is the trend. In an effort to promote a uniform standard for reporting clinical results, even for treatment indications, the mainly controversies were posed and discussed during the 7th International Conference on acoustic neuroma, and the agreement was summarized by the Committee of this conference. The main symptoms grading and tumor stage should note its name of classification for making them comparable. The goal of the modern managements for vestibular schwannoma is to improve the quality of life with lower mortality, lower morbidity and better neurological function preservation. The experience of surgical team and their preference might be a major factor for the outcome. Because of lacking of long-term follow-up large data after radiotherapy, and with the development of microsurgery, radiotherapy is now less recommended except for recurrent cases or elderly patients.