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岩斜脑膜瘤:EANS 颅底分会的最新治疗方法和共识更新。

Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section.

机构信息

Department of Neurosurgery, Lariboisière Hospital, Université Paris Diderot, Paris, France.

Department of Neurosurgery and Gamma Knife Center, University Hospital of Lausanne and Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.

出版信息

Acta Neurochir (Wien). 2021 Jun;163(6):1639-1663. doi: 10.1007/s00701-021-04798-z. Epub 2021 Mar 19.

Abstract

BACKGROUND

The optimal management of petroclival meningiomas (PCMs) continues to be debated along with several controversies that persist.

METHODS

A task force was created by the EANS skull base section along with its members and other renowned experts in the field to generate recommendations for the management of these tumors. To achieve this, the task force reviewed in detail the literature in this field and had formal discussions within the group.

RESULTS

The constituted task force dealt with the existing definitions and classifications, pre-operative radiological investigations, management of small and asymptomatic PCMs, radiosurgery, optimal surgical strategies, multimodal treatment, decision-making, and patient's counselling.

CONCLUSION

This article represents the consensually derived opinion of the task force with respect to the management of PCMs.

摘要

背景

岩斜脑膜瘤(PCM)的最佳治疗方法仍存在争议,目前仍有一些争议尚未解决。

方法

EANS 颅底分会及其成员以及该领域的其他知名专家成立了一个工作组,旨在为这些肿瘤的治疗提供建议。为此,工作组详细审查了该领域的文献,并在组内进行了正式讨论。

结果

该工作组涉及现有的定义和分类、术前影像学检查、小的和无症状的 PCM 的管理、放射外科治疗、最佳手术策略、多模态治疗、决策制定和患者咨询。

结论

本文代表了工作组就 PCM 治疗达成的共识意见。

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