How do you manage an intramedullary benign nerve sheath tumor post sub-total resection seen on post-operative MRI?
Would you consider radiation following surgical resection of an intramedullary benign nerve sheath tumor with a small amount of residual tumor (9 mm) given the dose constraint of the spinal cord?
Answer from: Radiation Oncologist at Academic Institution
Intracranial schwannomas respond well to low dose SRS (11.5-12 Gy) or SRT (25 Gy in 5 fractions)
Slane et al., PMID 28089525
However, both of these approaches use a somewhat higher dose than the spinal cord tolerance doses. Therefore, I would treat the patient on a radiation delivery sy...
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