Surgical management of craniopharyngiomas: A review
Surgical management of craniopharyngiomas: A review
复制标题
DOI：
10.2176/nmc.37.141
复制
发表时间：
1997-01-01
影响因子：
1.9
通讯作者：
Tatagiba, Marcos
中科院分区：
文献类型：
--
作者：
Samii, Madjid;Tatagiba, Marcos
颅咽管瘤是一种罕见的颅内良性肿瘤，仍是治疗中的一项任务。对于这些肿瘤的治疗选择存在争议。根治性手术、次全切除联合放射治疗或直接放疗是常见的治疗方法。尽管越来越多的报告强调了直接放射治疗这些肿瘤的作用，但由于颅咽管瘤是一种良性肿瘤，而且许多受影响的患者都很年轻，因此根治性手术仍然是大多数病例的首选治疗方法。在这篇文章中，作者回顾了颅咽管瘤的病理、临床表现、放射学和治疗的不同方面。描述了常见的手术方法，并概述了术前和术后的处理。
Craniopharyngiomas are uncommon benign intracranial tumors that still represent a task in management. Controversy exists concerning the treatment of choice for these tumors. Radical surgery, subtotal resection combined with radiotherapy, or primary irradiation are the frequent treatment modalities. Although an increasing number of reports have appeared stressing the role of primary radiation for these tumors, radical surgery still represents the treatment of choice in most cases, since craniopharyngioma is a benign tumor and many affected patients are at a young age. In this article the authors review different aspects of pathology, clinical presentation, radiology, and management of the craniopharyngiomas. Common surgical approaches are described and both preoperative and postoperative management are outlined.