크기가 큰 청신경 초종 치료의 최신 경향

• 영문명: Recent Trends in Management of Large Vestibular Schwannomas
• 발행기관: 대한두개저학회
• 저자명: 이승준(Seung-Joon Lee) 정희원(Hee-Won Jung)
• 간행물 정보: 『대한두개저학회지』제3권 제1호, 11~15쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.06.30

영문 초록

Management strategy of large vestibular schwannomas (VS) is still on debate regarding complete removal for tumor control versus incomplete removal for cranial nerve preservation. Still surgery for VS is difficult task for most neurosurgeons to achieve good tumor control rate without neurological sequela. Introduction of radiosurgery has greatly changed therapeutic strategies for large VS, but it has limitations due to large tumor mass. Admist the on-going controversy over optimal therapeutic strategy for large VS, we reviewed literatures for recent trends of therapeutic strategy for large VS. Near-total removal (NTR) and radical sub-total removal (R-STR) followed by radiosurgery showed comparable tumor control rate and favorable facial nerve preservation rate. If preservation of facial nerve is guaranteed, NTR alone is recommended. In case of incomplete surgical resection to save facial nerve integrity, adjuvant radiosurgery is beneficial for tumor control.

목차

크기가 큰 청신경 초종 치료의 역사적 고찰

크기에 따른 청신경 초종의 분류와 증상의 변화

과거의 치료 성적 및 최근 치료 경향

서울대병원에서의 크기가 큰 청신경 초종 치료 결과 분석 및 고찰

치료

결과

결론

키워드

Large vestibular schwannomas, Microsurgery, Radiosurgery, Multimodal treatment