Abstract
Treatment options for benign paragangliomas include surgery, radiotherapy (RT), stereotactic radiosurgery (SRS), and observation. Patients who are elderly, infirm, and have a limited life expectancy may be followed. This is also a reasonable option for younger, healthier patients who have no evidence of progression on serial computed tomography or magnetic resonance imaging. Patients who require intervention are treated with either RT (45 Gy/25 fractions) or SRS (12.5-15 Gy) if resection would result in significant morbidity such as permanent cranial nerve deficits. The probability of tumor stabilization or regression after RT or SRS exceeds 95% and the probability of a significant complication is remote.
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