Stereotactic options in the management of craniopharyngioma.
Multimodality stereotactic techniques were used in the management of 39 patients with craniopharyngiomas in a 12-year interval. Monocystic craniopharyngiomas were treated successfully by intracavitary beta-irradiation using 32P (96% cyst control rate). Solid tumor progression or secondary cyst formation required repeat irradiation, radiosurgery or microsurgery in selected patients. In the future, wider and earlier application of stereotactic techniques may further reduce the still unacceptable morbidity currently associated with initial radical microsurgical resection of craniopharyngiomas.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pa.
L D
LD
Lunsford
B E
BE
Pollock
D S
DS
Kondziolka
G
G
Levine
J C
JC
Flickinger
D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy; D001918:Brachytherapy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003397:Craniopharyngioma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D010902:Pituitary Gland / Q000473:pathology; D010910:Pituitary Irradiation / Q000379:methods*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D016634:Radiosurgery / Q000379:methods*; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D013238:Stereotaxic Techniques