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What is the role of radiation in intra labyrinthine (cochlear) schwannoma?
How do you counsel patients on efficacy, and side effects? What dose do you prescribe to?
Answer from: Radiation Oncologist at Academic Institution
This is a bit of a tricky question to answer without knowing the size of the lesion, the age of the patient, their current symptoms, and whether they have serviceable hearing.If the tumor is small, and the patient has residual serviceable hearing, it might be best to delay treatment and order a repe...
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Answer from: Radiation Oncologist at Academic Institution
We have treated these (3 cases) the same as any other case, wth the caveat that hearing preservation is not a goal, as it is often lost, and there is a slight but unquantifiable increased risk of vestibular dysfunction. Our patients have received 12 Gy in a single session with the Gamma Knife.