Stereotactic Radiosurgery For Benign Tumors Part 2
1. j neurosurg. 2002 dec;97(5 suppl):607 9. multimodal management of craniopharyngiomas: neuroendoscopy, microsurgery, and radiosurgery. barajas ma(1), ramírez guzmán g, rodríguez vázquez c, toledo buenrostro v, velásquez santana h, del robles rv, cuevas solórzano a, rodríguez hernández g. Outcomes in transcranial microsurgery versus extended endoscopic endonasal approach for primary resection of adult craniopharyngiomas. wannemuehler tj(1), rubel ke(1), hendricks bk(2), ting jy(1), payner td(2), shah mv(2), cohen gadol aa(2). Craniopharyngiomas can evolve space occupying cystic formations sometimes representing the predominant part of the tumors. 1 5 frequently, these patients have impaired visual and or endocrinological function sometimes necessitating urgent decompressive surgery; microsurgical resection is usually considered the treatment of choice in these patients. 1, 6 9 alternatively, minimally invasive cyst. Objective craniopharyngiomas have historically been resected via transcranial microsurgery (tcm). in the last 2 decades, the extended endoscopic endonasal (transtuberculum) approach to these tumors has become more widely accepted, yet there remains controversy over which approach leads to better out …. Cystic tumors had shorter pfs (5 year pfs: 53.6% vs 66.8%, p = .10) and needed significantly more therapeutic interventions, which was independent of the initial treatment mode. the endocrinological deterioration rate was high for both solid and cystic tumors after microsurgery (59.4% and 85.7%, respectively), whereas it was significantly lower.
Microsurgical Resection Versus Stereotactic Guided Ommaya
Radiation treatment options for craniopharyngiomas include conventional external beam radiation therapy (rt), intensity modulated radiation therapy (imrt), single fraction stereotactic radiosurgery (srs) (e.g., gamma knife), fractionated stereotactic radiotherapy (fsrt), and proton beam radiotherapy . in this chapter, we introduce the different. Limited surgery followed by postoperative radiosurgery might be a management paradigm of choice for many craniopharyngiomas. the goals of this strategy include pathologic confirmation of the tumor, surgical decompression of the optic chiasm, neurolologic and endocrine preservation, and long term tumor control. Craniopharyngioma surgery the highest priority of craniopharyngioma treatment with surgery is to maximize tumor removal without compromising the patients’ long term functional outcome. the challenges are due to their proximity to the hypothalamus, circle of willis, optic chiasm, optic nerve, pituitary gland and pituitary stalk. the hypothalamus and pituitary stalk are often challenging.
Microsurgery Vs Gamma Knife Radiosurgery For The Treatment
Frontiers Microsurgery Vs Gamma Knife Radiosurgery For
Microsurgery Versus Radiosurgery For Craniopharyngiomas