Hoffman H J
Division of Neurosurgery, Hospital for Sick Children, University of Toronto, Ont., Canada.
Pediatr Neurosurg. 1994;21 Suppl 1:44-9. doi: 10.1159/000120861.
Craniopharyngiomas can be divided into sellar, prechiasmatic, retrochiasmatic and giant tumors. The initial approach to a craniopharyngioma should be an attempt at its removal. Only if surgical therapy fails to deal with the tumor should more conservative approaches utilizing radiotherapy be used. The use of intracystic injection of bleomycin in craniopharyngiomas has proven to be a valuable adjunct in helping to remove these tumors.
颅咽管瘤可分为鞍内型、视交叉前型、视交叉后型和巨大型肿瘤。对于颅咽管瘤,初始治疗方法应是尝试将其切除。只有当手术治疗无法处理该肿瘤时,才应采用更保守的放射治疗方法。事实证明,在颅咽管瘤中使用博来霉素囊内注射是帮助切除这些肿瘤的一种有价值的辅助手段。