In small intracanalicular acoustic neuromas with facial nerve dysfunction, is there benefit for hypofractionation (5 Gy by 5 fractions) as opposed to single fraction SRS?

Guidelines support standard fractionation when tumors are large or have brainstem compression but what would indications be for moderate hypofractionation?

Answer from: Radiation Oncologist at Academic Institution

Unusual for a “small” acoustic to cause a cranial nerve deficit. I’d use conventional 50.4 Gy at 1.8 Gy per fraction.

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Radiation Oncologist at Cape Oncology
Very unusual, the tumour is 1.5 cm. Thank you. Has...

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In small intracanalicular acoustic neuromas with facial nerve dysfunction, is there benefit for hypofractionation (5 Gy by 5 fractions) as opposed to single fraction SRS?

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