Surgical Approaches to the Pineal Region

被引:21
作者
Kennedy, Benjamin C. [1 ]
Bruce, Jeffrey N. [2 ]
机构
[1] Columbia Univ, Dept Neurol Surg, New York, NY 10032 USA
[2] Columbia Univ, Med Ctr, Columbia Univ Coll Phys & Surg, Dept Neurol Surg,Neurol Inst, New York, NY 10032 USA
关键词
Pineal region; Pineal tumors; Resection; Surgery; GERM-CELL TUMORS; PRIMITIVE NEUROECTODERMAL TUMORS; HIGH-DOSE CHEMOTHERAPY; PARENCHYMAL TUMORS; RADIATION-THERAPY; HISTOLOGICAL FEATURES; STEREOTACTIC BIOPSY; 3RD VENTRICULOSTOMY; ADULT PATIENTS; MANAGEMENT;
D O I
10.1016/j.nec.2011.05.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The pineal region can harbor highly diverse histologic tumor subtypes. Because optimal therapeutic strategies vary with tumor type, an accurate diagnosis is the foundation of enlightened management decisions. Either stereotactic biopsy or open surgery is essential for securing tissue for pathologic examination. Biopsy has the advantage of ease and minimal invasiveness but is associated with more sampling errors than open surgery. The emergence of endoscopic techniques and stereotactic radiosurgery provide complementary options to improve pineal tumor management, and will assume greater importance in the neurosurgeon's armamentarium.
引用
收藏
页码:367 / +
页数:15
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