Malignancy in a vestibular schwannoma. Report of a case with central neurofibromatosis, treated by both stereotactic radiosurgery and surgical excision, with a review of the literature

被引:67
作者
Bari, ME
Forster, DMC
Kemeny, AA
Walton, L
Hardy, D
Anderson, JR
机构
[1] Royal Hallamshire Hosp, Dept Neurosurg, Sheffield S10 2JF, S Yorkshire, England
[2] Royal Hallamshire Hosp, Natl Inst Stereotact Radiosurg, Sheffield S10 2JF, S Yorkshire, England
[3] Addenbrookes Hosp, Dept Neurosurg, Cambridge, England
关键词
acoustic neuroma; gamma knife; radiosurgery; vestibular schwannoma;
D O I
10.1080/02688690220148888
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Malignant change in schwannoma is rare. Malignant change in a vestibular schwannoma (acoustic neuroma) is even more rare. This paper presents a case of rapidly growing vestibular schwannoma first treated by radiosurgery whose histopathology after surgical excision 42 months later showed malignant changes. Up to now, eight cases of malignancy in eighth nerve tumours have been reported, four of which, including the present case, had previously been treated with radiosurgery and four cases that had not received radiation. Thus, it would seem, the overall incidence is extremely low. Nevertheless, extreme vigilance and careful reporting continues to be necessary.
引用
收藏
页码:284 / 289
页数:6
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