Management of Radiation/Radiosurgical Complications and Failures
Management of Radiation/Radiosurgical Complications and Failures
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DOI：
10.1016/j.otc.2011.12.007
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发表时间：
2012-04-01
影响因子：
1.7
通讯作者：
Regis, Jean
中科院分区：
文献类型：
--
作者：
Roche, Pierre-Hugues;Noudel, Remy;Regis, Jean
为了描述前庭神经鞘瘤放射外科治疗后并发症的发生率和病程，作者回顾了自己的经验并复习了文献。不到 3% 的病例描述了失败，这必须与肿瘤体积的短暂增大区分开来。如果失败，应讨论显微手术切除或其他放射外科手术。单剂量放射外科技术的放射诱发肿瘤发生的风险尚未明确确定。在前庭神经鞘瘤治疗决策时应解释潜在并发症的发生率和治疗。
To describe the incidence and the course of complications after the radiosurgical treatment of vestibular schwannomas, the authors reviewed their own experience and reviewed the literature. Failure is described in less than 3% of cases, and this had to be distinguished from transient enlargement of tumor volume. In case of failure, microsurgical resection or another radiosurgical procedure should be discussed. The risk of radio-induced tumorigenesis is not clearly established with single-dose radiosurgical technique. Incidence and management of potential complications should be explained at the time of decision making in the management of vestibular schwannomas.