Microsurgical resection of pineal region tumors

Adam M. Sonabend, Stephen Bowden, Jeffrey N. Bruce*

*Corresponding author for this work

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

The extensive variety of possible histologic subtypes makes it imperative to establish a tissue diagnosis in patients with pineal region tumors. Management decisions regarding adjuvant therapy, prognosis, and follow-up strategies vary with the histologic diagnosis. Specialized surgical and stereotactic techniques have evolved to provide the neurosurgeon with an array of safe and effective options for obtaining a tissue diagnosis. Advanced microsurgical techniques combined with improved preoperative management and postoperative critical care methods have made aggressive surgical resection a mainstay of management. Aggressive surgical resection has resulted in excellent long-term prognoses for nearly all patients with benign tumors and a large percentage of patients with malignant tumors. However, pineal region surgery remains fraught with potential pitfalls, and these favorable results are dependent on an advanced level of surgical expertise.

Original languageEnglish (US)
Pages (from-to)351-366
Number of pages16
JournalJournal of Neuro-Oncology
Volume130
Issue number2
DOIs
StatePublished - Nov 1 2016

Keywords

  • Microsurgery
  • Occipital-transtentorial approach
  • Operative technique
  • Pineal region tumor
  • Supracerebellar-infratentorial approach
  • Transcallosal-interhemispheric approach

ASJC Scopus subject areas

  • Oncology
  • Neurology
  • Clinical Neurology
  • Cancer Research

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