Department of Neurological Surgery, Columbia University, 710 West 168th Street, New York, NY 10032, USA.
Neurosurg Clin N Am. 2011 Jul;22(3):367-80, viii. doi: 10.1016/j.nec.2011.05.007.
The pineal region can harbor highly diverse histologic tumor subtypes. Because optimal therapeutic strategies vary with tumor type, an accurate diagnosis is the foundation of enlightened management decisions. Either stereotactic biopsy or open surgery is essential for securing tissue for pathologic examination. Biopsy has the advantage of ease and minimal invasiveness but is associated with more sampling errors than open surgery. The emergence of endoscopic techniques and stereotactic radiosurgery provide complementary options to improve pineal tumor management, and will assume greater importance in the neurosurgeon's armamentarium.
松果体区域可能存在高度多样化的组织学肿瘤亚型。由于最佳治疗策略因肿瘤类型而异，因此准确的诊断是明智管理决策的基础。立体定向活检或开放性手术对于获取用于病理检查的组织都是必不可少的。活检具有操作简便和微创的优点，但与开放性手术相比，存在更多的取样误差。内镜技术和立体定向放射手术的出现为改善松果体肿瘤的管理提供了互补的选择，并且在神经外科医生的武器库中将会变得更加重要。
