Large lateral intraventricular tumors – Outcome of radical surgery
Autor: | Atul Goel, Survendra Rai, Kritika Singh, Saswat Dandpat, Ravikiran Vutha, Abhidha Shah, Naina Goel, Asha Shenoy |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Intraventricular tumor Neurosurgical Procedures Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Physiology (medical) Central neurocytoma medicine Subependymal zone Humans Radical surgery Child Aged Retrospective Studies business.industry Infant General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Hemiparesis Neurology Giant cell Child Preschool 030220 oncology & carcinogenesis Atypical teratoid rhabdoid tumor Female Choroid plexus Neurology (clinical) Neoplasm Recurrence Local medicine.symptom business Cerebral Ventricle Neoplasms 030217 neurology & neurosurgery |
Zdroj: | Journal of Clinical Neuroscience. 88:205-212 |
ISSN: | 0967-5868 |
Popis: | This is a retrospective analysis of 145 cases of lateral intraventricular tumors that were larger than 4 cm in their maximum dimension. The aim of surgery was radical tumor resection. During the period January 2000 to December 2019, 145 cases of lateral intraventricular tumors were treated by surgery by an interhemispheric approach. There were 101 males and 44 females. The ages of the patients ranged from 2 months to 77 years (average 29 years). Histological examination of tumors identified 73 central neurocytomas, 20 choroid plexus papillomas, 23 subependymal giant cell astrocytomas (SEGA), 5 ependymomas, 21 gliomas, 2 primitive neuroectodermal tumors (PNET/embryonal tumors) and 1 atypical teratoid rhabdoid tumor (ATRT). Nineteen patients had mild to severe hemiparesis in the immediate post-operative period. Eight patients died in the postoperative period. At a follow up of 1 year 137 patients were leading active and symptom free lives. Twenty seven patients received adjuvant radiation treatment. At a follow-up of more than 3 years, 8 additional patients died of their disease. Tumor recurrence or re-growth was observed in 13 patients and 2 patients needed reoperation. Surgery on large lateral intraventricular tumors can be associated with significant postoperative morbidity and mortality. Majority of tumors in this location are relatively ‘low-grade’ malignant tumors and when successfully treated, the long term outcome can be gratifying. |
Databáze: | OpenAIRE |
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