Extended transsphenoidal approach to giant tumors in sellar and clival area
To explore the effects of extended transsphenoidal approach, a new approach for removing giant tumors in sellar and clival area. Twenty-eight patients, 19 males and 9 females, aged 17 - 67 with a mean age of 47.8, with a mean history of 6.2 years, 13 with invasive giant pituitary adenoma, 10 with ch...
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Published in | Zhong hua yi xue za zhi Vol. 84; no. 20; p. 1693 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | Chinese |
Published |
China
17.10.2004
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Subjects | |
Online Access | Get more information |
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Summary: | To explore the effects of extended transsphenoidal approach, a new approach for removing giant tumors in sellar and clival area.
Twenty-eight patients, 19 males and 9 females, aged 17 - 67 with a mean age of 47.8, with a mean history of 6.2 years, 13 with invasive giant pituitary adenoma, 10 with chordoma, 2 with giant cell tumor of bone, 2 with pituitary metastatic tumor, and 1 with pituitary endocrinal carcinoma underwent operation by extended transsphenoidal approach. The tumors were 3.0 - 5.5 cm in size. In 2 cases the tumor extended to the base of the frontal lobe, 7 tumors involved the cavernous sinus, and 19 extended to clivus.
The tumor was totally removed in 19 patients, removed subtotally in 6 patients, and removed partially in 3 patients. Postoperative follow-up was performed for 6 months to 4 years. No recurrence occurred except for enlargement of 2 pituitary metastatic tumors and 1 chordoma.
Extended transsphenoidal approach satisfactorily reaches and helps remove the giant tumors in sellar and c |
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ISSN: | 0376-2491 |