Treatment Options > Microsurgical Options
Thinking of Surgery
notaclone13:
I do agree with Gary.s and ANSydney on one thing, your AN does not appear to be growing at this point. Sometimes they stop growing all together, so you do have time to think before having major brain surgery. In addition, you never know whether a new drug therapy will emerge while you are waiting.
ANSydney:
The article at https://www.ncbi.nlm.nih.gov/pubmed/18559028 concludes "An initial period of conservative management is a safe and reasonable management policy in all acoustic neuromas up to 2 cm in size at the cerebello-pontine angle. Given that there are no failsafe ways of deciding potential for growth in acoustic neuromas, initial conservative management of these tumours offers superior hearing and facial nerve preservation when compared with primary surgical treatment."
No matter what you do, your hearing is likely to decline. If you want to minimize the decline, watch and wait has the best results. ( https://pdfs.semanticscholar.org/2cef/abe8e8eef1ae32cab8bcf3c71dd75f53387c.pdf ) In particular, "In the literature, to our knowledge, there have been no reports of the hearing preservation after 10 years or more after hearing preservation surgery or radiotherapy. In the present study [no active treatment], 95 patients had been observed for 10 years or more. According to the AAO classification, 46% maintained good hearing after 10 years or more compared with 45% using the WRS classification and 75% of patients with 100% speech discrimination at diagnosis."
The clear majority of tumors have already stopped growing by the time they are diagnosed. Take a look at the thread https://www.anausa.org/smf/index.php?topic=23404.msg979773646#msg979773646 .
Jet747:
--- Quote from: ANSydney on July 25, 2018, 05:06:57 pm ---( https://pdfs.semanticscholar.org/2cef/abe8e8eef1ae32cab8bcf3c71dd75f53387c.pdf )
--- End quote ---
Interesting study ANSydney...thanks for posting it.
BR,
Jet
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