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Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma.
- Source :
-
World neurosurgery [World Neurosurg] 2016 Nov; Vol. 95, pp. 618.e7-618.e12. Date of Electronic Publication: 2016 Aug 21. - Publication Year :
- 2016
-
Abstract
- Background: Craniopharyngiomas are uncommon benign locally aggressive epithelial tumors mostly located in the sellar and suprasellar regions. An infrasellar origin of these tumors is rare.<br />Case Description: The authors report a 22-year-old male patient with a purely infrasellar adamantinomatous craniopharyngioma centered in the nasopharynx with extension into the posterior nasal septum, sphenoid sinus, and clivus. Gross total resection was achieved using an expanded endonasal endoscopic transethmoidal, transsphenoidal, transpterygoid, and transclival approach. Follow-up at one year demonstrated no evidence of disease recurrence.<br />Conclusions: Infrasellar craniopharyngioma should be included in the differential diagnosis of sinonasal masses even in the absence of sellar extension. Expanded endonasal endoscopic approaches provide excellent access to and visualization of such lesions and may obviate the need for postoperative radiotherapy when gross total resection is achieved.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Subjects :
- Cranial Fossa, Posterior diagnostic imaging
Cranial Fossa, Posterior surgery
Craniopharyngioma diagnostic imaging
Humans
Magnetic Resonance Imaging
Male
Nasal Cavity diagnostic imaging
Nasal Cavity surgery
Nasopharyngeal Neoplasms diagnostic imaging
Natural Orifice Endoscopic Surgery
Pituitary Neoplasms diagnostic imaging
Sphenoid Sinus diagnostic imaging
Sphenoid Sinus surgery
Tomography, X-Ray Computed
Young Adult
Craniopharyngioma surgery
Nasopharyngeal Neoplasms surgery
Neuroendoscopy methods
Pituitary Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 95
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 27554305
- Full Text :
- https://doi.org/10.1016/j.wneu.2016.08.044