Author Topic: For how long after surgery do your docs recommend follow up scans?  (Read 2755 times)

Cynaburst

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I am just about 9 years out from retrosigmoid surgery for a 3 cm. AN.  I also had pre-surgical hydrocephalus and have a VP shunt.  About a year after my AN surgery, I got a pacemaker/defibrillator for an unrelated heart condition, so I can only have follow up CTs now.

My last CT scan was not quite 2 years ago.

I was wondering what other people do about scans this far out.  Do you still get them at all?  Do you get them every 5 years or so?  What are the recommendations?

Mark241

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #1 on: December 12, 2010, 02:05:12 pm »
I think 2 years sounds about right, my docs mri me abiut every two, unless I start to show symptoms.
4cm C1  16hrs                 Barrows, Jan 06      NF2
3.5 cm  Right AN retro       Barrows, Oct 06   
Cranial Plate removal           UNM Nov 07
LP                                   Barrows  Jan,2011
Wound revision                 Barrows Feb, 2011
5mm left middle Fossa,  (2) 2mm spine w&w

CHD63

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #2 on: December 12, 2010, 02:15:03 pm »
I think there are many variables that factor in for how often/long MRIs will continue.  GK/CK/radiation patients have a different protocol than post-surgical patients.  Even within those there are other situations that dictate frequency ..... complete or incomplete removal, size of tumor, trauma to facial nerve, etc.

I had retrosigmoid surgery 3 years ago next February and I am still on yearly MRIs.  My doctor said the evaluation of each MRI will determine when the next one will be.  At the last MRI (February, 2010) there was still a small place of enhancement that could either be a fragment of tumor or scar tissue so it is being watched for any change.

Just my thoughts.

Clarice
Right MVD for trigeminal neuralgia, 1994, Pittsburgh, PA
Left retrosigmoid 2.6 cm AN removal, February, 2008, Duke U
Tumor regrew to 1.3 cm in February, 2011
Translab AN removal, May, 2011 at HEI, Friedman & Schwartz
Oticon Ponto Pro abutment implant at same time; processor added August, 2011

Kathleen_Mc

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #3 on: December 19, 2010, 10:20:35 pm »
Seems different Doc's have different opinions.
I did not have any follow up in this reguard until about 8 years post op when I was having other health issues.....and low and behold I had regrowth at the orginal site! My treating doc. did not specialise in AN's, his speciality was movement disorders and basically once I went to the surgeon that was that from him. My sergeon felt he had removed the entire tumor and did not see need for follow up of any kind.
Speak with your doc's, I think if they believe the entire tumor was removed there should still be MRI's done in follow up.
Kathleen
1st AN surgery @ age 23, 16 hours
Loss of 7-10th nerves
mulitple "plastic" repairs to compensate for effects of 7th nerve loss
tumor regrowth, monitored for a few years then surgically removed @ age 38 (of my choice, not medically necessary yet)

cecile k

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #4 on: December 19, 2010, 11:47:14 pm »
My neurosurgeon likes to have the area scanned regularly...had MRIs post op at year one, year two, year four, year six, year nine and now am allowed to wait four years before the next one.

cecile

Jim Scott

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #5 on: December 20, 2010, 05:10:44 pm »
Cynaburst ~

I had AN debulking surgery in June, 2006, followed by FSR in September/October, 2006.  No complications.  I underwent an MRI at 6 months 12 months and 24 months post-op.  The last (2008) showed necrosis and some minor shrinkage. The fact that I have no symptoms (and financial considerations) have prevented me from having another MRI scan.  My neurosurgeon, a very AN-experienced, conservative doctor, has not advised me have a 'fresh' MRI, so I assume there is no real urgency to do so, although I hope to have one in 2011.  If not, I'm not concerned and of course, I'm very aware should any symptoms appear.  So far, none.  I feel great and my AN experience, much like my youth, is becoming a somewhat distant memory.  :)

Jim
4.5 cm AN diagnosed 5/06.  Retrosigmoid surgery 6/06.  Follow-up FSR completed 10/06.  Tumor shrinkage & necrosis noted on last MRI.  Life is good. 

Life is not the way it's supposed to be. It's the way it is.  The way we cope with it is what makes the difference.

cin605

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #6 on: December 22, 2010, 10:27:30 am »
I am w/ Clarice and go yearly for audioworkup and MRI...I have enhancement that is stable...scar tissue..or tumor theyr eally can not tel unless it starts expanding.
2cm removed retrosig 6/26/08
DartmouthHitchcock medical center lebanon,N.H.
43yrs old

leapyrtwins

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Re: For how long after surgery do your docs recommend follow up scans?
« Reply #7 on: December 24, 2010, 09:36:20 am »
My neurotologist recommends annual MRIs for the first 5 years and then every couple of years after that.

Jan
Retrosig 5/31/07 Drs. Battista & Kazan (Hinsdale, Illinois)
Left AN 3.0 cm (1.5 cm @ diagnosis 6 wks prior) SSD. BAHA implant 3/4/08 (Dr. Battista) Divino 6/4/08  BP100 4/2010 BAHA 5 8/2015

I don't actually "make" trouble..just kind of attract it, fine tune it, and apply it in new and exciting ways