Black P M
Neurosurgical Service, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Neurol Clin. 1995 Nov;13(4):927-52.
Meningiomas, pituitary adenomas, and vestibular schwannomas are the most common benign brain tumors in adults. Together they account for 30% to 40% of primary brain tumors. Surgery remains the treatment of choice for most of these tumors. Recent advances in surgical techniques and intraoperative monitoring have decreased significantly the morbidity associated with surgery. For patients with inoperable or recurrent tumors, there is increasing evidence that standard external beam radiotherapy, stereotactic radiosurgery, and stereotactic radiotherapy all have a therapeutic role. These advances have been complemented by progress in medical therapies for pituitary adenomas and meningiomas.
脑膜瘤、垂体腺瘤和前庭神经鞘瘤是成人中最常见的良性脑肿瘤。它们一起占原发性脑肿瘤的30%至40%。手术仍然是这些肿瘤大多数的首选治疗方法。手术技术和术中监测的最新进展已显著降低了与手术相关的发病率。对于无法手术或复发性肿瘤的患者，越来越多的证据表明，标准外照射放疗、立体定向放射外科和立体定向放疗都具有治疗作用。垂体腺瘤和脑膜瘤的医学治疗进展也对这些进展起到了补充作用。
