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?

Topics: Radiation Oncology • Neuro-Oncology

Would you favor observation or adjuvant radiation? If so, what dose/fractionation would you consider?

Answer from: Radiation Oncologist at Community Practice

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...

Comments

Radiation Oncologist at University of North Carolina
If observation/surveillance is decided to be perfo...

Radiation Oncologist at GammaWest Cancer Services
It is entirely reasonable to obtain a baseline oph...

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