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How would you approach management of a patient who is status post resection of a WHO grade 1 planum sphenoidale meningioma which was adherent to the optic nerve?

Would you favor observation or adjuvant radiation? If so, what dose/fractionation would you consider?
1 Answer
Mednet Member
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Radiation Oncology · GammaWest Cancer Services
Answered on

As suggested by the mere fact of its posting, this is a complex question. If this were a gross total resection (GTR), I would tend toward observation and would follow the patient carefully with imaging and clinical evaluations at 6-month intervals for at least 3 years, then annually. GTR for a planu...

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