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Special mention of tumors
C. Schwannoma
Schwannoma tumors are slow-growing benign tumors that grow from inside the nerve sheath. Unlike other neural tumors that arise from the nerve sheath, schwannomas arises from the schwann cells of the individual nerve fibers. Schwannomas may show random growth, or may grow as a part of some specific conditions such as Von Recklinghausen's disease, sometimes called neurofibromatosis (NF).Physical examination, laboratory investigations and imaging help to diagnose Neurofibromatosis. Treatment for schwannoma tumors varies depending on the size, number and location and clinical features of the patient.
Diagnosis
Schwannomas are predominantly benign tumors. In rare cases, the tumors can become malignant. The tumors can grow anywhere throughout the nervous system. The most common places for schwannoma tumors are in the brain, throughout the trunk, and the limbs
Surgery
Surgical intervention is the most common treatment for schwannomas.The aim of the surgery is total removal of the tumour with preservation of neural function to reduce the post operative complications. It requires sophisticated gadgets like operating microscope and intraoperative electrophysiological monitoring. Neurosurgeon-oncologists deal with malignant neural tumors, so patients with malignant schwannomas benefit greatly from multidisciplinary approach.
Gamma Knife Surgery
It is a highly focused stereotactic Gamma Radiation to a specific area of the brain. The success rate is high and complications are very few. It can be used where surgery is difficult due to a difficult location of a tumor or potential risk of complications are very high .It can be used when there are contraindications for surgery . Also Gamma Knife can be used when there is a significant residual tumor left after a surgery.
Close follow up
If the patient does not have any or minimal signs or symptoms due to this tumor, a close observation is the best choice. It comprises of periodic clinical check up and imaging.
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