Lynch Jose Carlos, Aversa Antônio, Pereira Celestino, Nogueira Jânio, Gonçalves Mariangela, Lopes Hélio
Department of Neurosurgery, Hospital Federal dos Servidores do Estado and National Cancer Institute, Rio de Janeiro, Brazil.
Surg Neurol Int. 2014 Nov 28;5:163. doi: 10.4103/2152-7806.145764. eCollection 2014.
The aim of this paper is to report on our surgical strategy and technique and to identify the best management for intracranial dermoids and epidermoids tumors (IDETs).
We retrospectively reviewed 33 consecutive patients (14 males and 19 females; mean age at surgery, 37.9 years) with pathologically confirmed IDETs who underwent surgical resection, with mean follow-up of 7.2 years.
Gross total tumor removal was achieved in 24 cases (72.7%) with zero surgical mortality and a recurrence rate of 9%.
The surgical strategies used in this group of patients enabled total removal of most tumors without surgical mortality and with low morbidity and recurrence rates, proving to be safe and effective.
本文旨在报告我们的手术策略和技术，并确定颅内皮样囊肿和表皮样囊肿肿瘤（IDETs）的最佳治疗方法。
我们回顾性分析了33例经病理证实为IDETs且接受手术切除的连续患者（14例男性和19例女性；手术时平均年龄37.9岁），平均随访7.2年。
24例（72.7%）实现了肿瘤全切，手术死亡率为零，复发率为9%。
该组患者所采用的手术策略能够实现大多数肿瘤的全切，无手术死亡，发病率和复发率低，证明是安全有效的。
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