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Intra- and suprasellar tumours: surgical results
Summary
Surgical intervention for 108 intra- and suprasellar tumors, particularly pituitary tumors, offers radical solutions. Early diagnosis is crucial for saving vision, with radiotherapy preventing relapse.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Intra- and suprasellar tumors present complex surgical challenges.
- The transcranial subfrontal approach has emerged as a viable surgical option.
Purpose of the Study:
- To present the surgical outcomes for 108 intra- and suprasellar tumors.
- To evaluate the efficacy of the transcranial subfrontal approach for pituitary tumors.
Main Methods:
- Surgical intervention for 108 patients with intra- and suprasellar tumors.
- Utilized transcranial subfrontal approach for pituitary tumors.
- Intratracheal anesthesia and radiotherapy were employed.
Main Results:
- The transcranial subfrontal approach provided a circumspect and often radical solution for pituitary tumors.
- Radiotherapy was effective in preventing tumor relapse.
- Prognosis varied for craniopharyngiomas, optic tumors, cysticercus, and ectopic pinealoma.
- Favorable outcomes were noted for ependymoma, angioblastoma, tuberculum sellae meningioma, and dermoids.
Conclusions:
- The transcranial subfrontal approach is a promising surgical method for pituitary tumors.
- Early diagnosis is paramount for preserving vision in patients with these tumors.
- Multimodal treatment including surgery and radiotherapy improves outcomes.