Autor: |
Anke Zhang, Juan Shen, Xuemei Zhang, Pin Dong, Jingjue Wang, Fei Wang, Qingwei Zhu, Yunjia Ni, Qiangyi Zhou, Jie Ren, Zhiyu Wang, Yuanzhi Xu, Zhaoqi Yuan, Qi Li, Meiqing Lou, Yunke Bi |
Rok vydání: |
2021 |
Předmět: |
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Zdroj: |
Journal of Neurosurgery: Case Lessons. 2 |
ISSN: |
2694-1902 |
DOI: |
10.3171/case21471 |
Popis: |
BACKGROUND Teratocarcinosarcoma traversing the anterior skull base is rarely reported in literature. The heterogenous and invasive features of the tumor pose challenges for surgical planning. With technological advancements, the endoscopic endonasal approach (EEA) has been emerging as a workhorse of anterior skull base lesions. To date, no case has been reported of EEA totally removing teratocarcinosarcomas with intracranial extensions. OBSERVATIONS The authors provided an illustrative case of a 50-year-old otherwise healthy man who presented with left-sided epistaxis for a year. Imaging studies revealed a 31 × 60-mm communicating lesion of the anterior skull base. Gross total resection via EEA was achieved, and multilayered skull base reconstruction was performed. LESSONS The endoscopic approach may be safe and effective for resection of extensive teratocarcinosarcoma of the anterior skull base. To minimize the risk of postoperative cerebrospinal fluid leaks, multilayered skull base reconstruction and placement of lumbar drainage are vitally important. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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