title: Radiotherapy for vestibular schwannoma: Review of recent literature results.
abstract: BACKGROUND
  The management of vestibular schwannoma is still a quite controversial issue and can include wait and see policy, surgery and radiotherapy, mainly with stereotactic technique. The purpose of this study is to review the results of recent clinical series treated by radiotherapy.
  
  
  METHODS
  Literature search was performed by Pubmed and Scopus by using the words "vestibular schwannoma, acoustic neuroma, radiotherapy, radiosurgery".
  
  
  RESULTS
  Management options of VS include wait and see, surgery and radiotherapy. In case of small lesions, literature data report local control rates higher than 90% after radiosurgery (SRS) similar those of surgical techniques. Recent literature reviews show favourable functional outcome by using SRS. Several literature data support the use of fractionated stereotactic radiotherapy (FSRT) in case of large inoperable lesions.
  
  
  CONCLUSIONS
  Radiotherapy plays a relevant role in the treatment of VS. In small-size lesions, SRS can guarantee similar local control and potentially better function outcome compared to surgery. In case of large and irregularly shaped lesions, FSRT can be the used when surgery is not feasible.
authors.affiliation: Radiotherapy Division, University Hospital "Maggiore della Carità", Novara, Italy.
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Apicella
authors.affiliation: Radiotherapy Division, University Hospital "Maggiore della Carità", Novara, Italy.
authors.forename: Marina
authors.initials: M
authors.lastname: Paolini
authors.affiliation: Radiotherapy Division, University Hospital "Maggiore della Carità", Novara, Italy; Department of Translational Medicine, University of "Piemonte Orientale", Novara, Italy.
authors.forename: Letizia
authors.initials: L
authors.lastname: Deantonio
authors.affiliation: Radiotherapy Division, University Hospital "Maggiore della Carità", Novara, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Masini
authors.affiliation: Radiotherapy Division, University Hospital "Maggiore della Carità", Novara, Italy; Department of Translational Medicine, University of "Piemonte Orientale", Novara, Italy; Centro Nazionale Adroterapia Oncologica (CNAO), Pavia, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Krengli
keywords: Acoustic neuroma; Radiotherapy; Stereotactic radiosurgery; Vestibular schwannoma