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Fractionated stereotactic radiotherapy for acoustic neuroma
Author(s) -
Koh EngSiew,
Millar BarbaraAnn,
Ménard Cynthia,
Michaels Howard,
Heydarian Mostafa,
Ladak Shenaz,
McKin Sharon,
Rutka John A.,
Guha Abhijit,
Pond Gregory R.,
Laperriere Normand J.
Publication year - 2007
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.22499
Subject(s) - medicine , radiosurgery , acoustic neuroma , stereotactic radiotherapy , neuroma , surgery , radiation therapy , dose fractionation
BACKGROUND. The clinical outcome and toxicity of fractionated stereotactic radiotherapy (FSRT) was assessed for acoustic neuroma in 60 patients treated in a single institution. METHODS. Between October 1996 and February 2005, 60 patients received FSRT for acoustic neuroma (AN). The mean total dose applied was 50 Gy in single daily 2‐Gy fractions over 5 weeks. The median irradiated tumor volume was 4.9 cm 3 (range, 0.3–49.0 cm 3 ). The median follow‐up period was 31.9 months. RESULTS. FSRT was well tolerated in all patients. The 5‐year actuarial local control rate was 96.2% (95% CI: 91.1%–100.0%). Five‐year actuarial progression‐free survival was 92.8% (95% CI: 84.8%–100.0%). The overall hearing preservation rate was 77.3%. Five of 6 patients with initial cranial nerve V (CNV) numbness remained stable post‐FSRT. Two of 3 patients with baseline trigeminal neuralgia improved with the remaining patient stable. All 3 patients with nonsurgically related facial nerve weakness either improved or achieved stability in function. There were no cases of new cranial nerve toxicity post‐FSRT. CONCLUSIONS. FSRT for the treatment of AN is safe, effective, and well tolerated. FSRT should thus be considered as an effective alternative treatment modality when compared with microsurgical resection or single fraction stereotactic radiosurgery. Cancer 2007. © 2007 American Cancer Society.