Department of Neurosurgery, University of Colorado School of Medicine, Academic Office Building, Room 5001, 12631 East, 17th Avenue, Aurora, CO 80045, USA.
Neurosurg Clin N Am. 2011 Jul;22(3):353-8, vii-viii. doi: 10.1016/j.nec.2011.04.003. Epub 2011 Jun 8.
The role of the neurosurgeon is critical for initiating preoperative evaluation and care for pineal region tumors. Preoperative evaluation of pineal region tumor can be simplified into a checklist: (1) evaluation for emergent surgical intervention due to symptomatic obstructive hydrocephalus or mass effect; (2) development of a focused differential after acquisition of craniospinal MRI, serum and cerebrospinal fluid oncoprotein levels, and cerebrospinal fluid cytology; and (3) decision on whether a biopsy, surgical resection, or both are necessary. Subsequent biopsy or surgical resection is the first step of tumor management and leads to coordination of consultation with medical and radiation oncology.
神经外科医生在启动松果体区肿瘤的术前评估和治疗中发挥着关键作用。松果体区肿瘤的术前评估可以简化为一个检查表：（1）由于有症状的梗阻性脑积水或肿块效应而需要紧急手术干预的评估；（2）在获得颅脊髓 MRI、血清和脑脊液肿瘤蛋白水平以及脑脊液细胞学检查后，制定有针对性的鉴别诊断方案；（3）决定是否需要进行活检、手术切除或两者都需要。随后的活检或手术切除是肿瘤管理的第一步，并导致与内科肿瘤学和放射肿瘤学进行咨询协调。
