Literature DB >> 10821553

Recurrence of acoustic neuroma after incomplete resection.

H K El-Kashlan1, H Zeitoun, H A Arts, J T Hoff, S A Telian.   

Abstract

OBJECTIVE: To determine the risk of recurrent tumor in patients after incomplete resection of acoustic neuroma. STUDY
DESIGN: Retrospective case review.
SETTING: A tertiary referral center. PATIENTS: Thirty-nine patients were identified who underwent incomplete resection of acoustic neuroma between January 1988 and December 1993, and had a minimum follow-up of 3.5 years, at a mean of 6.2 years (range 3.5-10.2 years). INTERVENTION: Regular follow-up. using either computed axial tomography or magnetic resonance imaging yearly. MAIN OUTCOME MEASURES: Growth of residual tumor as determined by the increase in its greatest dimension on follow-up imaging studies and the necessity for additional treatment.
RESULTS: Tumor regrowth occurred in 17 patients (44%). Ten patients (26%) required additional treatment during the follow-up period.
CONCLUSION: This study suggests that incomplete resection of acoustic neuroma is associated with a significant risk of recurrent tumor requiring subsequent intervention.

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Mesh:

Year:  2000        PMID: 10821553     DOI: 10.1016/s0196-0709(00)80049-6

Source DB:  PubMed          Journal:  Am J Otol        ISSN: 0192-9763


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