Is there an age cutoff at which you would recommend against radiosurgery for a schwannoma or trigeminal neuralgia in someone who is a good surgical candidate with no comorbidities?
How much do you factor in the possibility of radiation-induced second malignancies for the treatment of benign conditions in younger patients?
Answer from: Radiation Oncologist at Academic Institution
Personally, I do not have a specific age cutoff, but do have a careful discussion about secondary malignancy risks in a younger patient. With younger patients with schwannomas, one has to be careful about neurofibromatosis as there may be a higher risk of secondary malignancies from radiation....