Proundly Supported by
Pfizer Foundation
    Home | Current Issue | Past Issue | Board | Instruction | Contact


Fractionated Stereotactic Radiotherapy for Bilateral Vestibular Schwannomas Associated with Neurofibromatosis Type 2: Early Experiences in Ramathibodi Hospital

1076

Mantana Dhanachai MD*, Veerasak Theerapancharoen MD**,
Jiraporn Laothamatas MD*, Chanchai Jariengprasert MD***,
Puangtong Kraiphibul MD*, Pornpan Yongvithisatid MD****

* Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
** Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
*** Department of Otolaryngology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
**** Radiosurgery Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Abstract


Purpose : To evaluate the rates of tumor control and useful hearing preservation in patients with bilateral vestibular schwannomas (VSs) associated with neurofibromatosis type 2 (NF-2) treated with fractionated stereotactic radiotherapy (FSRT).
Material and Method : From August 1998-December 2002 there were 5 patients with NF-2 who underwent FSRT (Linac-based system) for bilateral CP angle tumors. Median age was 28 (18-47) years. Median tumor volume was 5.4 (2.2-9.4) cc. Eight lesions received a marginal dose of 44.2-59.9 (median = 46.2) Gy in 25-33 fractions. The other 2 lesions received 4.4 and 4.9 Gy / fraction for 6 fractions in 3 and 2 weeks. Median follow-up was 19 (14-44) months.
Results : Radiographic and clinical tumor control rate was 90%. One lesion progressed at 7 months after FSRT and was completely resected. Of the 5 lesions with Gardner-Robertson class I-II hearing before FSRT, 2 (40%) retained useful hearing at the last follow-up. One patient had left facial spasm at 10 months after FSRT which gradually improved. No patient had facial palsy, facial numbness or pain.
Conclusions : FSRT provided good tumor control and hearing preservation rate in NF-2 patients with minimal morbidity. However, a longer follow-up is needed to evaluate long term results.

Keyword : Neurofibromatosis type 2, Stereotactic Radiotherapy, Vestibular Schwannoma



Download Full Paper
  Vol87_No9_1076.pdf  [ 262.76 Kb]

Home | Current Issue | Past Issue | Board | Instruction | Contact

© Copyright The Medical Association of Thailand. All Rights Reserved.2001-2002
Acquista Cialis generico 5 mg Effetti collaterali del Cialis 5 mg Acquista Cialis 20mg online Prezzo di Cialis originale in Svizzera Acquista Viagra in Svizzera senza prescrizione Dove comprare Cialis 10mg Viagra in farmacia online effetti collaterali Costo di Cialis 5mg Opiniones de Reduslim Acquista Spedra Avanafil senza prescrizione Acquista Viagra in Svizzera senza prescrizione Comprar Cialis original Comprar Viagra Contrareembolso Cialis 5mg Viagra sin receta Cialis 5 mg efectos secundarios graves Reduslim precio Trastorno de la ereccin venta de tadalafilo avanafil prezzo cialis 20 mg prezzo cialis effetti benefici cialis 10 mg Reduslim Kaufen pulse crypto price prediction avanafil 100 mg prezzo buy cialis or generic tadalafil 9 http://diplomsagroups.com https://gosznac-diploma.com/ http://sreestrom.ru/ http://originality-diplomy.com https://russian-diplom.com 9 http://russdiplomiki.com https://diplomansy.com 11 https://diploms-asx.com http://diplomrussian.com 11 https://rudiplomisty24.com/ https://russiany-diploman.com/ https://land-diplom.com/ 11 https://kyc-diplom.com http://diploms-service.com https://originaly-dokuments.com https://diplomy-grup24.com/ http://aurus-diploms.com/kupit-diplom-stroitelya.html 9 https://diplomansy.com/kupit-diplom-s-reestrom http://diploms-service.com/diplomy-po-gorodam/novosibirsk 11 http://diplomyland.com/ https://premialnie-diplomansy.com https://diplomiki.com
https://aurus-diplomany.com
https://russiany-diplomana.com
https://originality-diplomik.com
https://lands-diplomy.com
https://okdiplom.com/
https://nsk-diplom.com/
https://ry-diplom.com/
https://diploms-vuza.com/
https://diplom-bez-problem.com/
https://kazdiplomas.com/
https://diplomoz-197.com/
https://kupit-diplomyz24.com/
https://prodiplome.com/
https://diplom5.com/
https://10000diplomov.ru/
https://1magistr.ru/
https://diplom-insti.ru/
https://kdiplom.ru/
https://diplom45.ru/
https://diplom-zakaz.ru/
https://peoplediplom.ru/
https://diplom-profi.ru/
https://bisness-diplom.ru/
https://kupite-diplom0024.ru/
11
11
11
https://diploman-asx.com
11
https://rudiplomirovany.com
https://premialnie-diploms.com
https://diplomans-doc.com
https://russiany-diplom.com
https://diplomy-gruppa.com
https://rudiplomis.com
https://rudiplomisty.com/
https://lands-diploms.com
https://originality-diploman.com
https://originality-diplomx24.com
https://originality-diploms24.com
https://originality-diploma24.com
https://originality-diploman24.com
https://originality-diplomans24.com
https://originality-diplomik24.com
https://originality-diplomix24.com
https://originality-diplomas24.com
9
https://originality-diplomiks24.com
https://originality-diplomiki24.com
https://ru-diplomirovan.com
https://ru-diplomirovany.com
www.ru-diplomirovanay.com
https://ru-diplomirovannie.com
rudiplomir.com
rudiplomirs.com
www.rudiplomira.com
rudiplomiry.com
https://rudiplomiru.com
ab-diplom24.ru
www.ab-diplom24.ru
http://www.24diplom07.ru
http://landik-attestats365.com
http://study-diploms.com}
9
11
9
http://diplomsagroups.com/kupit-diplom-o-srednem-obrazovanii/diplom-o-srednem-i-srednem-specialnom-obrazovanii.html
11
http://diplomsagroups.com/kupit-attestat-shkoly.html
https://premialnie-diplomansy.com/----/
https://premialnie-diplomansy.com/----/
https://premialnie-diplomansy.com/--/
https://russiany-diplomans.com/attestat-9-klassov
https://russiany-diplomans.com/srednee-spetsialnoe-obrazovanie
https://russiany-diplomans.com/kupit-diplom-kolledzha
https://russiany-diplomans.com/diplom-magistra
http://lands-diploms.com/ http://lands-diploms.com/specialnosti/yurist.html http://lands-diploms.com/goroda/krasnodar.html http://lands-diploms.com/goroda/omsk.html http://lands-diploms.com/goroda/chelyabinsk.html
http://aurus-diploms.com/attestat-9-klass.html http://aurus-diploms.com/obrazovanie/kupit-diplom-s-zaneseniem-v-reestr.html http://aurus-diploms.com/diplom-magistra.html http://aurus-diploms.com/geography/kupit-diplom-v-samare.html
http://radiploma.com/kupit-diplom-s-reestrom http://radiploma.com/kupit-diplomy-tehnikuma-kolledzha http://radiploma.com/kupit-diplomy-o-srednem-tehnicheskom-obrazovanii http://radiploma.com/kupit-diplom-kosmetologa
https://aurus-diplomans.com http://www.diplomas-asx.com https://diplomana-asx.com www.rusd-diplom.com https://rusd-diploms.com https://aurus-diplomany.com https://aurus-diplomik.com www.aurus-diplomas.com https://diplomans-asx.com diplomany-asx.com http://www.diplomys-asx.com https://diploman-servise.com http://www.radiploms.com http://www.radiplom.com radiplomy.com radiploma.com rudiplomisty24.com/--- http://www.rudiplomisty24.com/--- www.rudiplomisty24.com/--- rudiplomisty24.com/--
www.originality-diploman.com/----- originality-diploman.com/- originality-diploman.com/- www.originality-diploman.com/--
www.gosznac-diplomy.com/kupit-diplom-o-srednem-texnicheskom-obrazovanii www.gosznac-diplomy.com/diplom-spetcialista https://gosznac-diplomy.com/kupit-diplom-v-cheliabinske
diploman-asx.com/kupit-diplom-moskva https://diploman-asx.com/otzyvy http://www.diploman-asx.com/kupit-diplom-bakalavra-ili-specialista https://diploman-asx.com/kupit-diplom-specialista
11
http://www.diplom-belarus.com
diplomi-price.com
edu-digest.ru
http://proobzh.ru
http://www.edu-nt.ru/
http://www.student-madi.ru
http://dof-edu.ru
9
http://proobzh.ru
www.krsk-school47.ru http://www.russdiplomik.com/kupit-diplom-v-moskve.html russdiplomik.com/diplom-farmaczevta.html russdiplomik.com/diplom-s-reestrom-o-vyisshem-obrazovanii.html http://www.russdiplomik.com/kupit-diplom-v-novosibirske.html
http://www.russdiplomik.com/diplom-czena.html www.russdiplomik.com/diplom-farmaczevta.html russdiplomik.com/kupit-diplom-sankt-peterburg.html russdiplomik.com/kupit-diplom-v-ekaterinburge.html https://russiany-diplomans.com/diplom-o-srednem-obrazovanii http://www.russiany-diplomans.com/kupit-diplom-vracha www.russiany-diplomans.com/kupit-diplom-ekaterinburg http://www.russiany-diplomans.com/kupit-diplom-pskov https://arena-diplom24.com/attestaty https://arena-diplom24.com/diplomy-po-spetsialnosti/diplom-yurista https://ryazan.arena-diplom24.com/ http://www.novorossijsk.arena-diplom24.com/ www.diploms-goznak.com/attestat-vechernej-shkoly http://diploms-goznak.com/kupit-diplom-v-dnepropetrovske http://www.diploms-goznak.com/kupit-diplom-v-zhitomire http://diploms-goznak.com/kupit-diplom-v-zaporozhe - www.diploms-goznak.com/kupit-diplom-v-odesse diploms-goznak.com/vrach www.diploms-goznak.com/diplom-uchilishcha www.diploms-goznak.com/diplom-starogo-obraztsa http://www.diploms-goznak.com/diplom-tekhnikuma-kolledzha diploms-goznak.com/farmatsevt diploms-goznak.com/yurist http://diploms-goznak.com/meditsinskij-diplom diploms-goznak.com/svidetelstvo-o-rozhdenii
https://diplomy-servise.com
diploman-dok.com
diploman-doks.com
diploman-doky.com
www.diploman-doku.com http://education-ua.com/kupit-legalnyij-diplom-v-ukraine.html
www.education-ua.com/attestat-diplom.html
education-ua.com/zaporozhe.html
education-ua.com/kieve.html
http://education-ua.com/odesse.html
http://education-ua.com/summah.html
9
http://education-ua.com/ternopole.html
education-ua.com/diplom-o-mediczinskom-obrazovanii.html
http://www.education-ua.com/diplom-vyisshee.html
http://education-ua.com/kupit-nastoyashhij-diplom-goznak.html
http://www.education-ua.com/
education-ua.com/diplom-texnikuma-kolledzha.html
education-ua.com/diplom-magistra-ukrainskogo-vuza.html
http://www.education-ua.com/diplom-o-mediczinskom-obrazovanii.html
http://www.education-ua.com/diplom-medsestry.html
www.education-ua.com/diplom-nedorogo.html
http://education-ua.com/kupit-diplom-novogo-obrazca.html
www.education-ua.com/otzivi-pogelania.html
www.education-ua.com/diplom-vyisshee.html
http://education-ua.com/diplom-uchilishha.html
http://education-ua.com/diplom-s-registracziej.html
http://www.education-ua.com/kupit-diplom-s-provodkoj-v-ukraine.html
http://www.education-ua.com/diplom-specialista-ukrainskogo-vuza.html
http://www.education-ua.com/diplom-uchilishha.html
http://www.education-ua.com/kupit-diplom-sssr-na-nastoyashhem-blanke.html
http://education-ua.com/svidetelstvo-o-rozhdenii.html
11
http://education-ua.com/svidetelstvo-o-smerti.html
education-ua.com/svidetelstvo-o-brake.html
www.education-ua.com/svidetelstvo-o-razvode.html http://rudiplomisty24.com/-11- https://diplomy-servise.com http://dipplomy.com www.egpu.ru http://vina-net.ru/ cursovik.ru www.spravkipiter.ru alcoself.ru www.school625.ru www.moek-college.ru www.mmcmedclinic.ru www.intimvisit.ru http://med-pravo.ru/ http://moskva-medcentr.ru/ intim-72.ru razigrushki.ru www.dgartschool.ru www.ftbteam.ru http://sb26.ru/ http://www.originaly-dokuments.com/attestaty/attestat-za-9-klass https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii https://originaly-dokuments.com/gorod/nizhnij-tagil https://originaly-dokuments.com/gorod/vologda www.originaly-dokuments.com/gorod/saratov https://originaly-dokuments.com/spetsialnosti/yurist originaly-dokuments.com/spetsialnosti/povar www.originaly-dokuments.com/gorod/krasnodar originaly-dokuments.com/attestaty/attestat-za-11-klass http://www.originaly-dokuments.com/gorod/ekaterinburg www.originaly-dokuments.com/attestaty https://originaly-dokuments.com/spetsialnosti/bukhgalter www.originaly-dokuments.com/gorod/omsk originaly-dokuments.com/gorod/novosibirsk www.originaly-dokuments.com/gorod/sankt-peterburg originaly-dokuments.com/gorod/chelyabinsk www.originaly-dokuments.com/gorod/orjol originaly-dokuments.com/diplom-o-vysshem-obrazovanii/diplom-bakalavra originaly-dokuments.com/diplom-o-vysshem-obrazovanii/diplom-magistra www.originaly-dokuments.com/spetsialnosti/menedzher https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii/diplom-kolledzha https://originaly-dokuments.com/diplom-o-srednem-spetsialnom-obrazovanii
- - - -- - - premialnie-diplomansy.com https://premialnie-diplomansy.com/--/ www.premialnie-diplomansy.com www.originality-diploman.com originality-diploman.com https://originality-diploman.com/-- originality-diploman.com https://originality-diploman.com/-- https://originality-diploman.com/---- www.originality-diploman.com http://https://originality-diploman.com/-- premialnie-diplomansy.com originality-diploman.com www.premialnie-diplomansy.com premialnie-diplomansy.com https://premialnie-diplomansy.com/--/ https://premialnie-diplomansy.com/--/ www.premialnie-diplomansy.com www.premialnie-diplomansy.com http://https://originality-diploman.com/--
9
www.gosznac-diplomy.com http://https://gosznac-diplomy.com/kupit-diplom-vuza-rossii http://https://gosznac-diplomy.com/diplom-sredne-spetcialnoe-obrazovanie http://https://gosznac-diplomy.com/kupit-diplom-v-moskve gosznac-diplomy.com gosznac-diplomy.com https://gosznac-diplomy.com/svidetelstvo-o-rozhdenii http://https://gosznac-diplomy.com/diplom-feldshera gosznac-diplomy.com https://gosznac-diplomy.com/diplom-stroitelya
9 9 11
originality-diplomans.com
rudiplomis24.com
www.diploma-asx.com
https://gosznac-diplom.com/ diploman-doci.com
https://originality-diplomans.com/
www.rudiplomis24.com
https://lands-diplom.com/
https://gosznac-diplom.com/ http://https://aurus-diplom.com/
https://originality-diplomans.com/
https://rudiplomista24.com/
www.diploma-asx.com
https://gosznac-diplom.com/ https://aurus-diplom.com/
http://https://originality-diplomans.com/
https://rudiplomista24.com/
https://lands-diplom.com/
www.gosznac-diplom.com http://https://aurus-diplom.com/
http://diplomsagroups.com/diplomy-po-specialnosti/diplom-buhgaltera.html www.originality-diploman24.com https://originality-diplomans.com/ https://originality-diploma24.com/- http://https://frees-diploma.com https://ekaterinburg.arena-diplomi24.com/ http://https://ekaterinburg.arena-diplomi24.com/