Dempsey P K, Lunsford L D
Department of Neurological Surgery, Dartmouth University School of Medicine, Hanover, New Hampshire.
Neurosurg Clin N Am. 1992 Jan;3(1):245-53.
Our present treatment strategy for treating pineal region tumors is shown in Figure 5. We believe that stereotactic biopsy should be the first procedure in pineal region tumors so that a histologic diagnosis can be obtained. Based on the biopsy findings, the appropriate subsequent therapy, whether microsurgery, fractionated irradiation, or stereotactic radiosurgery, can be administered. Although our experience currently is limited to nine patients, we have found that stereotactic radiosurgery is a valuable alternative to microsurgery in the treatment of selected pineal region tumors.
我们目前治疗松果体区肿瘤的策略如图5所示。我们认为立体定向活检应是松果体区肿瘤的首要步骤，以便获得组织学诊断。根据活检结果，可以实施适当的后续治疗，无论是显微手术、分次放疗还是立体定向放射外科治疗。尽管我们目前的经验仅限于9名患者，但我们发现立体定向放射外科在治疗某些选定的松果体区肿瘤方面是显微手术的一种有价值的替代方法。
