Department of Neurosurgery, Gamma Knife Center, Komaki City Hospital, 1-20 Jobushi, Komaki, Aichi Prefecture 485-8520, Japan.
Neurosurg Clin N Am. 2013 Oct;24(4):531-42. doi: 10.1016/j.nec.2013.05.003. Epub 2013 Aug 2.
This article summarizes tumor control and functional outcomes of stereotactic radiosurgery (SRS) for patients with nonvestibular schwannomas, in comparison with those treated with microsurgical resection. To date, surgical resection has been a common treatment for nonvestibular schwannomas. Because these tumors are generally benign, complete tumor resection is a desirable curative treatment. However, it is almost infeasible to completely remove these tumors without any complications, even for experienced neurosurgeons, because of adherence to surrounding critical structures such as cranial nerves, brainstem, or vessels. SRS provides a good tumor control rate with much less morbidity than microsurgical resection.
本文总结了立体定向放射外科（SRS）治疗非听神经鞘瘤患者的肿瘤控制和功能结果，并与接受显微切除术治疗的患者进行了比较。迄今为止，手术切除一直是治疗非听神经鞘瘤的常用方法。由于这些肿瘤通常是良性的，因此完全切除肿瘤是一种理想的治愈性治疗方法。然而，即使是经验丰富的神经外科医生，由于要紧贴颅神经、脑干或血管等周围关键结构，几乎不可能做到无任何并发症地完全切除这些肿瘤。SRS 提供了与显微切除术相比发病率更低的良好肿瘤控制率。
