Craniopharyngiomas: a critical approach to treatment
| Autor: | de Sola Rg, Eduardo Areitio, J. M. Cabezudo, R. Martínez, Gonzalo Bravo, Jesús Vaquero |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical approach Time Factors Adolescent business.industry medicine.medical_treatment Subtotal excision Radiotherapy Dosage medicine.disease Craniopharyngioma Surgery Tumor recurrence Radiation therapy medicine Humans Female Pituitary Neoplasms Neoplasm Recurrence Local business Surgical treatment Child Retrospective Studies |
| Zdroj: | Journal of neurosurgery. 55(3) |
| ISSN: | 0022-3085 |
| Popis: | ✓ The authors have conducted a retrospective statistical study in a series of 45 patients with craniopharyngiomas in order to assess the value of different therapeutic approaches. All the patients included in the study were placed in three groups according to their method of treatment: 1) total excision; 2) subtotal excision; and 3) surgery followed by a course of radiotherapy (RT). Symptomatic recurrence was used to define failure of treatment. Of the patients subjected to total excision, 30% experienced recurrence after a mean time of 2 years. Tumors recurred in 71% of those treated by subtotal excision, with a mean time of 2.6 years. Of patients receiving RT in addition to surgery, only 6% had recurrence, after a mean time of 1 year. The authors conclude that the elective treatment for craniopharyngiomas is controlled subtotal surgery plus RT. Total excision should be attempted only if there is a negligible danger of mortality. |
| Databáze: | OpenAIRE |
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