Neuroendoscopy Followed by Radiotherapy in Cystic Craniopharyngiomas—a Long-Term Follow-Up

Takano, Shingo; Akutsu, Hidenori; Mizumoto, Masashi; Yamamoto, Tetsuya; Tsuboi, Koji; Matsumura, Akira

doi:10.1016/j.wneu.2015.06.022

Cited by 27 publications

(28 citation statements)

References 38 publications

(19 reference statements)

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“…Treatment is mainly through surgical resection. Several surgical approaches have been developed depending on topographical location of the tumor, 1,4,[10][11][12] and post neuroendoscopy radiotherapy, 13 Gamma Knife surgery, 14,15 and occasional use of Ommaya reservoir placement, 16,17 proton beam therapy, 18,19 and intracavitary β-irradiation 20,21 have been reported in literature.…”

Section: Introductionmentioning

confidence: 99%

Pathological and Topographical Classification of Craniopharyngiomas: A Literature Review

Lubuulwa

Lei

2016

J Neurol Surg Rep

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Craniopharyngiomas (CPs) are clinically relevant tumors of the sellar region and are associated with high morbidity and occasional mortality. There are two different subtypes of CPs that differ clinically and pathologically: adamantinomatous CP and papillary CP. The differential diagnosis is still challenging even with developments in preoperative imaging as several tumors of the sellar/parasellar region share a continuum of clinical characteristics and imaging similarities. Several topographical classifications of CPs have been mentioned in literature, but to date, there has not been a consensus on a standard reference classification system and there is need to a develop such a model.

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Section: Introductionmentioning

confidence: 99%

Pathological and Topographical Classification of Craniopharyngiomas: A Literature Review

Lubuulwa

Lei

2016

J Neurol Surg Rep

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“…In this present study, we would like to labor the point that the choice of surgical approach should be individualized according to the morphologic and topographic features manifested by the tumor on preoperative MRI/CT studies. Our philosophy is supported by other studies in which several topography-specific approaches such as transpetrosal approach for suprasellar tumors with retrochiasmatic extension [60], endoscopic-assisted supraorbital approach [14] [15] [61]; and neuroendoscopic fenestration followed by RT for suprasellar cystic CPs [21] have been adopted with the aim of having the shortest route to tumor removal as well with acceptable morbidity.…”

Section: Selection Of the Operative Approachmentioning

confidence: 77%

“…Several approaches to achieve gross total resection and subtotal or partial resection have been described in published literature for CPs in various locations of the cranium [13]- [19] the most notable including pterional, transcortical, transcallosal approach, transsphenoidal (microscopic or endoscopic) approach; and the transpetrosal approach. Other invasive methods include ommaya reservoir placement [20], neuroendocopic cyst fenestration [21] [22] and ventral peritoneal shunt for CP related hydrocephalus management [23] desmopressin [24], long hormonal replacement [25] have been mentioned in clinical management of longterm morbidities. Adjuvant Radiation therapy (RT) and gamma knife surgery (GKF) have been documented to increase long time survival following subtotal resection [26] [27] [28] [29] [30].…”

Section: Introductionmentioning

confidence: 99%

Microsurgical Treatment of Craniopharyngiomas: A Retrospective Analysis

Lubuulwa¹,

Miao²,

Liu³

et al. 2020

OJMN

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Objective: This retrospective study aims to survey the clinical outcomes of 341 consecutive patients surgically treated for and diagnosed with craniopharyngioma (CP) treated in a 10-year period in a single institution. Methods: The clinical reports of three hundred forty-one patients CP patients treated surgically between January 2006 and December 2016 were reviewed and analyzed retrospectively. Results: Our cohort consisted of 341 patients (202 male, 139 female) with a mean age of 34.9 years (range 1-74 years); Tumor Features: 129 patients (37.8%) had cystic tumors, 88 (23.8%) had solid tumors whereas 126 (36.4%) had heterogeneous lesions with a solid and cystic portion; calcifications were present in 139 (40.8%); Tumor Topography: Suprasellar 198 (58.1%), Intrasellar 40 (11.7%), Intra-third ventricular 103 (30.2%); Surgical approaches used among the patients included: Pterional 262 (76.8%), Transsphenoidal (TS) 42 (12.3%) Transcallosal 20 (5.9%), Transcortical 16 (4.7%) suboccipital 1 and combined approach 1; Gross total removal (GTR) was achieved in 247 patients (72.4%), Subtotal removal (STR) in 94 patients (27.6%). Good postoperative outcome at discharge was achieved in 324 (95%) patients while 17 (5%) patients had poor outcome including 5 (1.5%) perioperative deaths. Mean hospital length of stay was 21.87 (8-129). There were 42 (12.9%) recurrences with a mean time to recurrence of 28.36 (3-84) months, among which 37 (88.1%) underwent surgery for recurrence treatment. Follow-up time ranged from 3 months to 10 years. There was a statistical significance between open transcranial surgery and suprasellar tumors (p < 0.0001), TS and intrasellar tumors (p < 0.0001); postoperative diabetes inspidus and gross total resection (p < 0.0001); GTR and cystic tumors (p = 0.034) calcification and GTR (p = 0.0008). Conclusion: Good surgical outcome and long-term tumor control can be achieved through individual-based selective resection, whether total or subtotal resection. Whereas surgical pre

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“…We found 17 reports that utilized the NTVA (with and without Ommaya reservoir insertion) for the treatment of CC in 67 patients, with a follow-up period ranging from six to 73 months; the recurrence rate ranged between nil to 54% (Table 1) [2][3][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. The surgical modality of choice may differ depending on patient-and/or tumor-related factors.…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

Noureldine

Khodmehr

Sabahi

et al. 2021

Cureus

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The literature is rich with many studies reporting different treatment modalities and approaches for cystic craniopharyngioma (CC), including microsurgery, neuroendoscopic transventricular approach, endoscopic transnasal surgery, stereotactic drainage, and Ommaya reservoir insertion. The goals of this manuscript are to report the successful treatment of an atypical case of CC using the neuroendoscopic transventricular approach (NTVA) as well as discuss the different surgical modalities for these tumors following a comprehensive review of the literature. Our patient is a nine-year-old female with a large CC who was managed using the NTVA. No complications or recurrence occurred over two years of follow-up. Results of our literature review showed lower recurrence and complication rates of the NTVA compared to other surgical modalities. The NTVA is potentially efficient, reliable, and safe for managing CC and cysticdominant craniopharyngiomas, with low recurrence and complication rates compared to microsurgery and Ommaya reservoir insertion. Future randomized clinical studies comparing the various treatment modalities of CC are needed to solidify these conclusions.

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Neuroendoscopy Followed by Radiotherapy in Cystic Craniopharyngiomas—a Long-Term Follow-Up

Cited by 27 publications

References 38 publications

Pathological and Topographical Classification of Craniopharyngiomas: A Literature Review

Pathological and Topographical Classification of Craniopharyngiomas: A Literature Review

Microsurgical Treatment of Craniopharyngiomas: A Retrospective Analysis

Neuroendoscopic Transventricular Approach for Cystic Craniopharyngioma

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