Materiały źródłowe

• #1 Schwannoma – Symptoms, Causes, TreatmentsSecond Opinion IconGroup 9Group 49

  https://www.barrowneuro.org/condition/schwannoma/

  A schwannoma is a rare type of tumor that develops from cells called Schwann cells. […] Schwannomas tend to grow slowly and are generally non-cancerous (benign). However, in rare cases, they can be cancerous (malignant). Most schwannomas can be treated and cured through surgery. […] Schwannoma treatment will depend on various factors, including the size and location of the tumor, the severity of symptoms, and your overall health. […] The primary treatment is the surgical removal of the schwannoma. The goal of the surgery is to remove the tumor altogether while preserving the function of the affected nerve and relieving any symptoms it’s causing, like pain or numbness. […] Recovery varies depending on the tumor’s location and the complexity of the surgery. You may need to stay in the hospital for a few days after the procedure. Pain and discomfort around the incision site are common but manageable with medication.

• #2 Vestibular Schwannoma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562312/

  Schwannomas (also known as neuromas, neurinomas „of Verocay,” and neurilemmomas) are benign, well-encapsulated, slow-growing nerve sheath tumors composed exclusively of Schwann cells. […] This activity outlines the evaluation and management of schwannoma and highlights the role of the healthcare team in improving care for patients with this condition. […] Summarize interprofessional team strategies for improving care coordination and communication in patients with schwannoma and improve outcomes. […] Patients with serviceable hearing can be observed or fitted with a conventional hearing aid. However, many patients completely lose serviceable hearing in the affected ear and may be candidates for aural rehabilitation. […] An interprofessional team approach will improve patient outcomes. The interprofessional group should include a neurosurgeon, a peripheral nerve surgeon, a radiation oncologist, nursing staff, and in some cases, a physical therapist. […] Nurses can prove especially valuable in coordinating activities between the primary clinician, specialists, and therapists while also counseling patients and assisting in other clinical duties, from assessment to surgery.

• #3

  https://www.aurorahealthcare.org/services/neuroscience/brain-skull-base-care/vestibular-schwannoma

  Vestibular schwannoma treatment options may include: […] If you have a vestibular schwannoma diagnosis, your Aurora Health Care team, including neurologists and neurosurgeons, will work with you to find the best treatment based on your test results, age and overall health. […] Brain surgery (craniotomy) may be considered for larger tumors or tumors that cause severe symptoms. […] Rehabilitation for any hearing or balance problems. […] Watchful waiting may be better for small tumors that grow slowly or aren’t causing symptoms because it avoids the risk of damage to the nerves.

• #4

  http://www.bccancer.bc.ca/books/neuro-oncology/management/schwannoma

  In both intracranial and spinal locations these tumours have a propensity for the sensory roots. The most common intracranial schwannoma is the acoustic neuroma followed by trigeminal neuroma. In the spinal region the lumbar followed by thoracic and cervical regions are most frequently involved. The usual goal of treatment for these tumours is complete surgical excision. Malignant degeneration does occur, most frequently arising de novo from a peripheral nerve. […] Stereotactic radiation therapy (SRT) may be useful in patients with acoustic neuroma who decline surgery or who are medically inoperable, or in those with bilateral tumours or tumours in the only hearing ear, since surgery may be associated with a relatively high risk of loss of functional hearing. Single fraction SRT has been shown to lead to high rates of control, defined by tumour stabilization or shrinkage, with good prospects for hearing preservation. There is no evidence that Gamma Knife SRT is in any way superior to linear-accelerator based SRT. Studies have suggested that fractionated SRT may lead to even better hearing preservation in patients who have functional hearing to start with. One long term single institution series comparing fractionated stereotactic radiotherapy versus single fraction stereotactic radiosurgery showed similar 5 and 10 year survival rates of 96% in both groups. Single fraction doses over 13 Gy were associated with higher rates of hearing loss compares to fractionated treatment or lower dose single fractions.

• #5 Vestibular Schwannoma Care at Rush With Stephan Munich, MD | Rush

  https://www.rush.edu/vestibular-schwannoma-care-rush-stephan-munich-md

  Vestibular schwannomas are benign, often slow-growing tumors of the nerve that connects the ear and the brain, which can affect hearing and balance. […] Overall, there are three treatment strategies we use. First, theres the wait-and-see approach, which we use in conjunction with serial imaging. If the tumor is small and there are few symptoms, it might be best to watch in this way it over time. The second option is surgical removal. The third option is to treat the tumor with a small, precise amount of radiation to stop its growth. […] If were doing surgery, our primary goal is removing the tumor. We also want to preserve the patients hearing and facial nerve function. […] Over the past few decades, theres been a shift towards more conservative management of vestibular schwannoma. Physicians are prioritizing patients long-term neurological function versus trying to cure the condition.

• #6 Get Schwannoma Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/schwannoma-treatment

  Some tumors, like a schwannoma, are often benign (not cancerous). But they can press on the nerves in your head, causing problems with your balance and hearing, swallowing and moving your eyes. You might also have pain, pressure, tingling, numbness or facial paralysis. […] We understand that and well guide you through your schwannoma diagnosis and treatment with skilled, compassionate care every step of the way. […] Cleveland Clinic has one of the largest, most comprehensive and specialized brain, spine and nerve tumor programs in the United States. We use a team approach to care for you. Providers from different specialties work together to personalize your treatment plan based on your unique needs. […] Weve pioneered a minimally invasive schwannoma treatment that lets us remove your tumor through your nose instead of through an opening in your skull. It can mean faster recovery, less time in the hospital and a lower risk of complications after surgery.

• #7 Vestibular Schwannoma | Radiant Oncology

  https://radiantoncology.com/what-we-treat/vestibular-schwannoma/

  Vestibular Schwannoma is a benign tumor of the vestibular nerve. It is also known as acoustic neuroma. This nerve is responsible for transmitting sound and balance information from the inner ear to the brain. A vestibular schwannoma can grow slowly over many years and may not cause any symptoms. […] Treatment options for vestibular schwannomas vary depending on the size and location of the tumor, as well as the patients age and overall health. surgery is usually the recommended course of treatment for this condition. In some cases, radiation therapy may be recommended instead of or in addition to surgery. […] After your diagnosis, youll work with your doctor to discover more about your condition and develop a treatment strategy. Surgery, radiation therapy, or simply waiting and monitoring Schwannomas development are all options for treatment.

• #8 Caring for a patient with sacral schwannoma: A case report. – Document – Gale OneFile: Health and Medicine

  https://go.gale.com/ps/i.do?id=GALE%7CA744978892&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=22307354&p=HRCA&sw=w

  Schwannoma is a slow growing benign tumor of Schwann cells and among the bony sites, sacrum is the most common site of involvement. […] Caring for patients after sacrectomy requires the orthopedic nurses to be well-informed about the disease process and its devastating impact on the neurological functioning of the patient. […] This case report focuses on sacral Schwannoma and the caring experiences for a patient with sacral amputation. […] The symptoms depend on the origin and extent of the tumor. If the tumor extends posteriorly to dural sac and nerve roots, it would be symptomatic earlier than a tumor which extends anteriorly adjacent to abdominal structure. […] Involvement of the sacral nerve roots also leads to disruption in bladder and bowel function.

• #9 Schwannoma of Foot and Ankle: Seven Case Reports and Literature Review | Anticancer Research

  https://ar.iiarjournals.org/content/39/9/5185

  Schwannoma is most often grown on the trunk, upper and lower extremities, and head and neck, but rarely on the foot. This study aimed to reveal clinical presentations, histopathology and treatment options for schwannoma of the foot. The incidence of schwannoma of foot was found to be 4.0%. Overall, 77.6% of patients complained about a painful mass. Magnetic resonance imaging revealed a well-circumscribed, round or ovoid mass with iso-intensity signal compared with surrounding neuromuscular tissues on T1-weighted images and hyper-intensity signal on T2. Forty-eight out of 49 patients were treated with surgical excision or enucleation without recurrence in follow-up from 2 months to 4 years. Schwannoma of the foot and ankle is a rare, painful, indurated tumor. Surgical excision is the primary treatment option with excellent outcome. Schwannoma on the foot and ankle usually presents as a painful, movable, well-defined mass; weakness and paresthesia can be observed when associated nerves are affected. The modalities of pre-surgical diagnosis include X-ray radiography, ultrasound and MRI. Surgical excision or enucleation is the primary treatment option, even though for a smaller tumor observation can be opted for. Recurrence is extremely rare (less than 1%) unless tumor tissue is incompletely excised. In conclusion, schwannoma on the foot is a rare tumor. Ultrasound and MRI are good diagnostic tools for revealing tumor location, size, texture, involved nerves and relationships with surrounding muscular structures.

• #10 Get Schwannoma Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/schwannoma-treatment

  Your personalized schwannoma treatment plan depends on your test results, age, health, where the tumor is, how big it is and if its cancerous or benign. Based on these things, your provider might recommend: […] If your tumor is growing slowly and is benign, or if it isnt causing symptoms, your provider might decide to keep an eye on it instead of treating it. […] We often recommend surgery to stop the tumor from growing and prevent symptoms that can happen when the tumor presses on surrounding nerves. Cleveland Clinic has pioneered an innovative, minimally invasive procedure where we can remove the entire tumor through your nose or near your ear without disturbing your nearby nerves, tissues and blood vessels. […] Our goal is to remove the tumor safely with minimal impact on surrounding structures. You may only need a day or two in the hospital after this minimally invasive surgery.

• #11 Vestibular Schwannoma | The University of Kansas Health System

  https://www.kansashealthsystem.com/care/conditions/vestibular-schwannoma

  A vestibular schwannoma (also called an acoustic neuroma) is a benign (noncancerous) tumor that develops in the balance and hearing nerves. Vestibular schwannomas usually grow slowly and do not spread to other parts of the body. […] Vestibular schwannomas may cause hearing loss and nerve damage. If the tumor grows large enough, it can press against brain structures, which can be life-threatening. […] Specialists at The University of Kansas Health System offer advanced treatments for complex medical conditions, including vestibular schwannoma. […] Treatment plans are based on the size and location of the tumor, your symptoms and your age and general health. There are pros and cons to each treatment option for vestibular schwannoma, which your doctor will discuss in detail with you. […] For small, slow-growing tumors that dont cause symptoms, you and your doctor may decide on a „wait-and-see” approach. Observation is a good option for older adults with health problems that may be made worse by surgery.

• #12 Vestibular schwannoma – Symptoms, diagnosis and treatment | BMJ Best Practice US

  https://bestpractice.bmj.com/topics/en-us/731

  Vestibular schwannoma is a histologically benign, generally slow-growing tumor that may remain stable for long periods on follow-up magnetic resonance imaging scans after initial detection. […] Management includes observation (active surveillance), focused radiation (stereotactic radiosurgery or radiation therapy), or surgery. […] Decision-making regarding tumor management is mainly based on the presenting tumor size, detection of growth during active surveillance, provider bias, baseline patient function (e.g., hearing status), and patient preference.

• #13 Schwannoma – Overview – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/schwannoma/cdc-20352974

  Surgeons carefully remove schwannomas while taking care to preserve nerve fascicles that aren’t affected by the tumors. Nerve fascicles are bundles of nerve fibers. […] Schwannoma treatment depends on where the abnormal growth is located and whether it is causing pain or growing quickly. Treatment options include: […] Surgery. An experienced peripheral nerve surgeon can remove the tumor if it is causing pain or growing quickly. Schwannoma surgery is done under general anesthesia. Depending on the location of the tumor, some patients can go home the day of surgery. Others may need to stay in the hospital for one or two days. Even after successful removal of the tumor during surgery, a tumor may recur. […] Radiation therapy is used to help control the tumor growth and improve your symptoms. It may be used in combination with surgery.

• #14

  https://link.springer.com/article/10.1007/s00701-021-04801-7

  Recognition of the right surgical cleavage plane of a vestibular schwannoma is mandatory to preserve the facial nerve function. […] We describe here our surgical technique that is focused on soft tissues preservation and on subperineural dissection, avoiding direct exposure of the acoustico-facial complex in order to preserve facial nerve function. […] Soft tissue dissection helps in reducing patients postoperative discomfort. Meticulously keeping a subperineural plan of dissection enables to preserve facial nerve function while offering satisfying resection rates. […] Careful soft tissues dissection to minimize patients postoperative discomfort. […] Direct visualization of the acoustic-facial complex is avoided. […] Adequate counselling should include patients expectations and possible alternative therapeutic strategies.

• #15 Surgery for Acoustic Neuroma (Vestibular Schwannoma) | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/types/acoustic-neuroma/treatment/surgery-acoustic-neuroma

  Surgeons Samuel Selesnick (left) and Cameron Brennan are devoted to providing compassionate care for people with acoustic neuromas (vestibular schwannomas). […] Depending on your acoustic neuroma (vestibular schwannoma) symptoms, size and location, and other important factors, Memorial Sloan Kettering experts may recommend surgery. […] Throughout an operation to remove an acoustic neuroma, surgeons use sophisticated monitoring techniques to minimize the risk to the nerves in the region and to the brain. […] Surgery for acoustic neuromas involves collaboration between neurosurgeons and neurotologists (skull-base surgeons who specialize in the inner ear, the bones of the side and back of the skull, and the lower cranial nerves and brain stem).

• #16 Spinal Schwannoma Diagnosis & Treatment – NYC | Columbia Neurosurgery in New York City

  https://www.neurosurgery.columbia.edu/patient-care/conditions/spinal-schwannoma

  Schwannomas are nerve sheath tumors, or tumors that originate from the layer of insulation that surrounds nerve fibers. At the Spine Hospital at the Neurological Institute of New York, we specialize in treating spinal schwannomas. […] Schwannomas are typically slow-growing and usually benignthat is, they usually are not cancerous and will not spread. Malignant (cancerous) schwannomas are very rare. […] The treatment of spinal schwannomas depends on the size, location, and symptoms of the tumor. Small tumors producing no pressure on nearby tissues in patients with no symptoms can often be observed over time with intermittent MR scans. […] For larger or symptomatic tumors, or tumors showing growth over time, microsurgical removal is usually recommended. In most patients, complete removal of these tumors can be safely achieved using a surgical microscope, very fine instruments, and an array of microsurgical techniques. In many cases, patients experience an improvement in neurological function. […] In some patients with large dumbbell tumors, spinal stabilization and fusion may be performed following complete tumor removal.

• #17 Schwannoma // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/schwannoma

  Radiation therapy is used to help control the tumor growth and improve your symptoms. It may be used in combination with surgery. […] If the tumor is near vital nerves or blood vessels, a technique called stereotactic body radiation therapy may be used to limit damage to healthy tissue. With this technique, doctors deliver radiation precisely to a tumor without making an incision.

• #18 Vestibular Schwannoma Treatments | Targeting Cancer AU & NZ

  https://www.targetingcancer.com.au/treatment-by-cancer-type/vestibular-schwannoma/

  Vestibular schwannomas (Acoustic Neuroma) are non-cancerous growths along the nerve that joins the inner ear to the brain. […] They are also sometimes called acoustic neuromas. Vestibular schwannomas can cause hearing loss and problems with balance. […] A highly trained radiation oncology team takes care of people having radiation therapy. This includes radiation oncologists, radiation therapists, medical physicists and radiation oncology nurses. […] The type of treatment a person gets is worked out by a team of doctors and health professionals often called a Multidisciplinary Team. […] Radiation therapy can be used to treat vestibular schwannoma. The aim of treatment is to stop the tumour growing and protect the nerve. […] Radiation therapy is very effective for treating vestibular schwannomas.

• #19 Acoustic Neuroma Treatment | Vestibular Schwannoma | Duke Health

  https://www.dukehealth.org/treatments/ear-nose-and-throat/acoustic-neuroma

  Beyond treating the tumor itself, we have a wide range of options to treat the possible symptoms of an acoustic neuroma, including hearing loss, balance problems, and facial weakness or facial paralysis. […] Vestibular Rehabilitation Therapy. This special form of physical therapy trains your body and brain to make up for inner-ear dysfunction, helps you feel steadier on your feet, and relieves or reduces disabling symptoms. […] Facial Reanimation Surgery. This surgery may be recommended if you experience total or near-total loss of your ability to show facial expression. […] Once you are diagnosed with an acoustic neuroma, our patient navigators become your one-stop shop for scheduling appointments, coordinating your visits, communicating your test results, and planning your surgery. Its their job to make your skull base tumor treatment journey easier by guiding you through it step by step.

• #20 Vestibular Schwannomas (aka acoustic neuromas) | UNC Facial Nerve Center

  https://www.med.unc.edu/ent/facialnervecenter/conditions/vestibular-schwannomas-aka-acoustic-neuromas/

  Vestibular schwannomas are managed and treated by neurotologists (dedicated ear and skull base surgeons). Treatment options include observation, targeted radiation therapy, and surgery to remove the tumor. […] Surgery and radiation therapy to treat these tumors can damage the facial nerve causing temporary, or even permanent, facial weakness. […] Most commonly, the facial nerve remains intact during vestibular schwannoma surgery and patients wake up with normal facial function. […] During this period, Dr. Miller can perform eyelid procedures such as a platinum eyelid weight placement to maximize protection and comfort of the eye. […] If no recovery has occurred after 6 months, Dr. Miller can perform a 5-7 Nerve Transfer Smile Reanimation procedure to restore a patients smile while permitting continued recovery of the native facial nerve. […] Other facial reanimation procedures can be performed to restore facial tone if no facial nerve recovery is seen at 12 months. […] If this aberrant nerve regeneration occurs, patients are candidates for treatments such as selective denervation and Botox to restore facial symmetry and function.

• #21 Nerve Tumors | Brain Institute | OHSU

  https://www.ohsu.edu/brain-institute/nerve-tumors

  Treatment can vary widely, depending on: The type and severity of the tumor, The tumors location, Other factors, such as your overall health. […] For malignant peripheral nerve sheath tumors, immediate treatment is recommended. Your care team will seek to surgically remove as much of the tumor as possible. Other treatments for these tumors may include radiation therapy and/or chemotherapy. […] The expert physical therapists, occupational therapists and hand therapists at OHSUs rehabilitation center can work with you to recover from surgery and restore function.

• #22 Acoustic Neuroma Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/acoustic-neuroma-nursing-management/

  Risk for Falls related to loss of balance […] Disturbed Sensory Perception (auditory) […] Risk for Imbalanced Nutrition: Less Than Body Requirements RT weak facial muscles

• #23 Vestibular Schwannoma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562312/

  Due to schwannoma’s benign nature, prompt diagnosis and treatment are necessary in suspected cases. An interprofessional team approach will improve patient outcomes. The interprofessional group should include a neurosurgeon, a peripheral nerve surgeon, a radiation oncologist, nursing staff, and in some cases, a physical therapist. Collaboration, shared decision-making, accurate patient record keeping, and open communication among care team members are crucial elements for a good outcome.

• #24 Acoustic Neuroma (Schwannoma) | Pacific Neuroscience Institute

  https://www.pacificneuroscienceinstitute.org/eye-ent/hearing/conditions/acoustic-neuroma/

  At Pacific Neuroscience Institute, our experts are focused on compassionate, state-of-the art, multidisciplinary care for patients with acoustic neuroma and other schwannomas. […] Our otology (hearing) speciality surgeons and neurosurgeons personalize treatment for each patient. If surgery is indicated, minimally invasive keyhole and endoscopic surgery is available for most symptomatic acoustic neuromas. […] For those who may be candidates for minimally invasive surgery, our team of experienced surgeons use keyhole and endoscopic approaches to make acoustic neuroma and schwannoma surgery safer, less invasive, and more effective to optimize your clinical outcomes. […] Treatment for acoustic neuromas by surgical removal is through a keyhole retrosigmoid craniotomy, a middle cranial fossa, or a translabyrinthine minimally invasive route using an endoscope and micro-instrumentation.

• #25 Schwannomas & Vestibular Schwannomas | the holistic neurosurgeon

  https://www.theholisticneurosurgeon.com/schwannomas-vestibular-schwannomas

  For small tumours this is often the recommended option and with this approach many people do not go on to require treatment. […] This is an effective technique that uses highly targeted doses of radiation with the aim of stopping the tumour from growing any more. […] Surgery may be indicated for a wide range of reasons. […] Surgery cannot restore function in nerves that have already been affected by the tumour, for example your hearing. […] If you do have facial weakness it can affect your ability to close your eye, necessitating eye drops and sometimes patches to protect the eye in the short term. […] Following surgery, the majority of patients will lose their hearing completely in the affected ear. […] For most patients tinnitus becomes less intrusive over time, however, if it persists support can be provided for managing this symptom.

• #26 Schwannomas & Vestibular Schwannomas | the holistic neurosurgeon

  https://www.theholisticneurosurgeon.com/schwannomas-vestibular-schwannomas

  Patients often experience dizziness/balance problems immediately following surgery. […] Recovery from this operation is slow and steady. […] If you drive you can continue to do so after your operation and you do not need to notify the DVLA with this type of tumour. […] Return to work will depend on what sort of work you do and when you feel able. […] Follow-up scans will be arranged for a minimum of 10 years following surgery to check for any re-growth.

• #27 Childhood Schwannoma | Dana-Farber Cancer Institute

  https://www.dana-farber.org/cancer-care/types/childhood-schwannoma

  Schwannoma (also called neurilemoma) is a rare brain tumor that occurs in the nervous system. It is most frequently a benign (non-cancerous) tumor. It commonly impacts nerves located in the head and neck and nerves that flex the upper and lower extremities. […] At Dana-Farber/Boston Childrens Cancer and Blood Disorders Center, the specialists in our Childhood Brain Tumor Center offer complete care for children with schwannoma. From thorough diagnosis and advanced treatments to comprehensive follow-up care, were here for you and your family every step of the way. […] Surgery is commonly the first treatment used for schwannoma. Surgical removal of the tumor rarely harms nerve function. After surgery, we may use radiation therapy to destroy any remaining tumor cells. […] After treatment, your child and family will continue to receive care and support from our team of cancer specialists. We continue to monitor your childs health and provide support services through our pediatric survivorship programs, including the Stop Shop Family Pediatric Neuro-Oncology Outcomes Clinic for pediatric survivors of brain or spinal cord tumors.

• #28 Schwannoma Tumor Symptoms and Surgery | UPMC

  https://www.upmc.com/services/neurosurgery/spine/conditions/tumors-lesions/schwannoma

  Surgery is the primary treatment for spinal schwannomas. UPMC neurosurgeons typically perform microsurgery to remove the tumor if the patient experiences symptoms such as weakness, numbness, or pain. […] For large tumors, radiation and chemotherapy may be used in conjunction with surgery. Spinal schwannomas may also be treated with stereotactic spine radiosurgery, which is a minimally invasive technique that uses highly focused beams of radiation to target spinal tumors. The beams destroy the tissue that a surgeon would otherwise need to remove with a scalpel during a traditional operation. The precision of this surgery results in minimal damage to the healthy tissue surrounding the tumor, and no recovery time.

• #29 Value-based and data-driven vestibular schwannoma care | Scholarly Publications

  https://scholarlypublications.universiteitleiden.nl/handle/1887/4107527

  Vestibular schwannoma care is a complex, multidisciplinary field that requires careful decision-making and continuous quality improvement. […] The thesis examines how value-based care principles, such as shared decision-making and patient-reported outcomes, can optimize treatment outcomes for patients, focusing on long-term quality of life and employment rates. […] Additionally, two innovative artificial intelligence (AI) tools were developed: one for automating the analysis of patient experience surveys (AI-PREM) and another for measuring tumor volumes on MRI scans. […] These tools improve care by streamlining quality assessments and enhancing the accuracy of tumor monitoring. […] Although AI technologies can reduce clinicians’ workload and support decision-making, human validation remains crucial. […] The integration of these tools into clinical practice is key to their success. […] The research underscores the importance of a customized approach in applying value-based and data-driven care, as not all aspects fit every medical condition.

• #30

  https://journals.lww.com/otology-neurotology/fulltext/2020/12000/working_toward_consensus_on_sporadic_vestibular.56.aspx

  To address variance in clinical care surrounding sporadic vestibular schwannoma, a modified Delphi study was performed to establish a general framework to approach vestibular schwannoma care. […] This modified Delphi study on sporadic vestibular schwannoma codifies 100% consensus within a multidisciplinary expert panel and is further supported by 91% consensus among an external group of clinicians who regularly provide care for patients with vestibular schwannoma. […] These final 103 statements address clinically pragmatic items that have direct application to everyday patient care. This document is not intended to define standard of care or drive insurance reimbursement, but rather to provide a general framework to approach vestibular schwannoma care for providers and patients.

• #31 Schwannoma – Symptoms, Causes, TreatmentsSecond Opinion IconGroup 9Group 49

  https://www.barrowneuro.org/condition/schwannoma/

  In situations where complete removal of the tumor is not feasible or if a person is not a suitable candidate for surgery, other treatments can be considered. […] The prognosis for individuals with schwannomas is generally excellent, especially when the tumors are detected early and are accessible for surgical removal. […] Overall, the survival rate for individuals with schwannomas is excellent since these tumors are benign. The key challenges typically revolve around managing symptoms and preventing or addressing functional impairments related to the tumors.

• #32 Childhood Schwannoma | Dana-Farber Cancer Institute

  https://www.dana-farber.org/cancer-care/types/childhood-schwannoma

  The prognosis for children with schwannoma is generally excellent. The cure rate is high, and it very rarely recurs. If a tumor does come back in the same place, it usually means complete surgical removal wasnt possible. […] Our schwannoma treatment team includes doctors with specialized expertise in treating pediatric brain tumors, such as schwannoma.

• #33 Vestibular Schwannoma – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562312/

  Schwannomas (also known as neuromas, neurinomas „of Verocay,” and neurilemmomas) are benign, well-encapsulated, slow-growing nerve sheath tumors composed exclusively of Schwann cells. This activity outlines the evaluation and management of schwannoma and highlights the role of the healthcare team in improving care for patients with this condition. […] The prognosis is excellent; recurrence after total resection is uncommon. Malignant changes may occur in long-standing schwannomas, although this is rarely reported. The malignant changes mostly occur in patients that have an underlying neurofibromatosis. The prognosis also depends on the size, location of the tumor, and underlying conditions. […] Patients with serviceable hearing can be observed or fitted with a conventional hearing aid. However, many patients completely lose serviceable hearing in the affected ear and may be candidates for aural rehabilitation. Interventions may include bone conduction implants or contralateral routing of signals (CROS) hearing aid, but this is only possible in those with an intact cochlear nerve.

• #34 Schwannoma | Expert Surgeon | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/schwannoma

  The prognosis for a benign schwannoma is typically excellent. Surgery is often curative, and most individuals go on to live their normal lives after treatment. Although most patients experience an improvement in symptoms, some unfortunately do not and will require physical therapy and medications to address these issues. […] Regular monitoring is crucial for managing schwannomas and detecting any signs of malignant transformation early.

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