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Titolo:
The role of stereotactic cyst aspiration for glial and metastatic brain tumors
Autore:
Niranjan, A; Witham, T; Kondziolka, D; Lunsford, LD;
Indirizzi:
Univ Pittsburgh, Med Ctr, Dept Neurol Surg, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 ol Surg, Pittsburgh, PA 15213 USA Univ Pittsburgh, Med Ctr, Dept Radiat Oncol, Pittsburgh, PA 15213 USA UnivPittsburgh Pittsburgh PA USA 15213 t Oncol, Pittsburgh, PA 15213 USA Univ Pittsburgh, Med Ctr, Dept Radiol, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 Radiol, Pittsburgh, PA 15213 USA Univ Pittsburgh, Med Ctr, Ctr Image Guided Neurosurg, Pittsburgh, PA 15213USA Univ Pittsburgh Pittsburgh PA USA 15213 eurosurg, Pittsburgh, PA 15213USA
Titolo Testata:
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
fascicolo: 3, volume: 27, anno: 2000,
pagine: 229 - 235
SICI:
0317-1671(200008)27:3<229:TROSCA>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
PILOCYTIC ASTROCYTOMAS; CEREBRAL HEMISPHERES; CHILDREN; GLIOMAS; BIOPSY; RADIOSURGERY; LESIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Kondziolka, D Univ Pittsburgh, Med Ctr, Dept Neurol Surg, 200 Lothrop St,Suite B-400, Pittsburgh, PA 15213 USA Univ Pittsburgh 200 Lothrop St,Suite B-400 Pittsburgh PA USA 15213
Citazione:
A. Niranjan et al., "The role of stereotactic cyst aspiration for glial and metastatic brain tumors", CAN J NEUR, 27(3), 2000, pp. 229-235

Abstract

Objective: To evaluate the role of stereotactic cyst aspiration in the context of multimodality management of cystic glial and metastatic tumors, we retrospectively reviewed our experience with 38 patients during a 10-year interval, Methods: All 38 patients had one or more computed tomography or magnetic resonance imaging guided stenotactic cyst aspirations. Twenty-seven patients had glial neoplasms and 11 had metastatic brain tumors. Twenty-twopatients underwent cyst aspiration as the initial treatment modality while15 patients had cyst aspiration following previous treatments. Results: Inthe immediate postoperative period, 19 of the 27 (70%) patients with gliomas and nine of the 11 (82%) patients with metastatic tumors experienced symptomatic improvement. No procedure-related morbidity was encountered, Twelve patients (31.5%) eventually required a catheter-reservoir system. Thirty-seven percent of patients with cystic glial neoplasms and 18% of patients with metastatic tumors had delayed cytoreductive surgery by craniotomy subsequent to stereotactic cyst aspiration. Reduction in tumor volume following aspiration facilitated Gamma knife radiosurgery in seven patients. Conclusion: Single stereotactic aspiration is a low risk procedure that provides immediate relief of symptoms in patients with cystic brain tumors, It appearsto be valuable together with the use of other therapeutic strategies.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 19:07:39