The Role of Wait-and-Scan and the Efficacy of Radiotherapy in the Treatment of Temporal Bone Paragangliomas.

The Role of Wait-and-Scan and the Efficacy of Radiotherapy in the Treatment of Temporal Bone Paragangliomas.

Sampath Chandra Prasad, Hassen Ait Mimoune, Flavia D’Orazio, Marimar Medina, Andrea Bacciu, Renato Mariani-Costantini, Paolo Piazza, and Mario Sanna

Abstract
Objective: To define the role of wait-and-scan and radiotherapy (RT) in the treatment of temporal bone paragangliomas and to review the literature on the outcomes of RT as a treatment modality.

Conclusion: In elderly patients with advanced tumors, a waitand-scan approach is recommended, and RT is initiated only when fast-growing tumors are detected. There is insufficient evidence in literature to suggest that RT could be an effective alternative to surgery in Class C and D tumors.