Surgical technique for a cystic-type metastatic brain tumor: transformation to a solid-type tumor using hydrofiber dressing.
BACKGROUND
Many metastatic brain tumors have a distinct border with normal brain tissue, which facilitates tumor removal. However, residual tumor tissue may be present after surgery when metastatic brain tumors are of cystic type. We have developed a method using hydrofiber dressing to transform cystic-type into solid-type tumors.


METHODS
Hydrofiber dressing is a sodium carboxymethylcellulose hydrocolloid polymer with high fluid-absorptive capacity. This material was originally used as a dressing for exudative wounds. Hydrofiber dressing was used for 8 patients with cystic-type metastatic brain tumor. Tumor removal was performed after hydrofiber dressing was inserted into the cyst cavity to transform the tumor into a solid-type tumor.


RESULTS
Transformation of cystic-type metastatic brain tumors into smaller solid-type tumors using hydrofiber dressing facilitated en bloc resection of tumor. The dressing also absorbed residual cyst fluid and was thus also effective in preventing intraoperative dissemination of tumor cells. This approach enabled ideal en bloc resection in all patients. There were no adverse events.


CONCLUSIONS
These findings suggest hydrofiber dressing may be useful in surgery for cystic-type metastatic brain tumors.
Okuda
Takeshi
T
Department of Neurosurgery, Kinki University School of Medicine, Osaka 589-8511, Japan. okuda@neuro-s.med.kindai.ac.jp
Teramoto
Yoshifumi
Y
Yugami
Haruki
H
Kataoka
Kazuo
K
Kato
Amami
A
D047070:Bandages, Hydrocolloid; D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery*; D002266:Carboxymethylcellulose Sodium; D003560:Cysts / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009366:Neoplasm Seeding; D018365:Neoplasm, Residual / Q000517:prevention & control; D013396:Suction; D018084:Ultrasonography, Interventional
D002266:Carboxymethylcellulose Sodium