Choosing a surgical corridor for skull base chordoma
The issues that adversely affect the long-term outcome of these tumors include: the often large tumor burden at the time of diagnosis, spread along critical bony structures, encasement of important neurovascular structures, and poor margination all of which make both radical surgical resection and r...
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Published in | Neurology India Vol. 60; no. 6; pp. 567 - 569 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications and Media Pvt. Ltd
01.11.2012
Medknow Publications & Media Pvt. Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | The issues that adversely affect the long-term outcome of these tumors include: the often large tumor burden at the time of diagnosis, spread along critical bony structures, encasement of important neurovascular structures, and poor margination all of which make both radical surgical resection and radiation therapy challenging. Type I lesions are restricted to one compartment of the skull base, defined as a solitary anatomical area (e.g., sphenoid sinus, occipital condyle, cavernous sinus, and lower clivus), Type II lesions involve two or more contiguous areas of the skull base and whose radical removal can be achieved by using a single skull base approach, and Type III lesions involve multiple compartments and whose surgical removal requires more than one surgical approach, often in stages, to achieve radical resection. |
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Bibliography: | SourceType-Other Sources-1 content type line 63 ObjectType-Editorial-2 ObjectType-Commentary-1 |
ISSN: | 0028-3886 1998-4022 |
DOI: | 10.4103/0028-3886.105187 |