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部分颅底肿瘤切除联合放射外科治疗:一种补救措施还是合理的治疗方案?

Partial skull base tumour resection in combination with radiosurgery: an escape procedure or a reasonable solution of treatment?

作者信息

Bunc Gorazd, Ravnik Janez, Ravnik Maja, Velnar Tomaz

机构信息

Department of Neurosurgery, University Medical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia.

Department of Oncology, University Medical Centre Maribor, Maribor, Slovenia.

出版信息

Wien Klin Wochenschr. 2015 Dec;127 Suppl 5:S270-6. doi: 10.1007/s00508-015-0787-6. Epub 2015 Apr 30.

Abstract

Despite advancement in microsurgical techniques for skull base tumour surgery, approaches of this kind still represent a significant challenge for neurosurgeons due to the size of the tumour and its interference and proximity to important neural and vascular structures. After incomplete resection, gamma knife radiosurgery is becoming an alternative or adjunctive treatment option. In this article, some examples of our experience in combined treatment of the skull base tumours with surgical procedure and gamma knife therapy for the remaining tumour tissue are presented.

摘要

尽管颅底肿瘤手术的显微外科技术有所进步,但由于肿瘤的大小及其对重要神经和血管结构的干扰与毗邻关系,这类手术方法对神经外科医生而言仍是一项重大挑战。在不完全切除术后,伽玛刀放射外科正成为一种替代或辅助治疗选择。本文介绍了我们采用手术联合伽玛刀治疗剩余肿瘤组织来综合治疗颅底肿瘤的一些经验实例。

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