Aggressive surgery based on an anatomical subclassification of craniopharyngiomas

We present the results of our analysis of the treatments and outcomes for a consecutive series of craniopharyngioma cases, which included evaluations of the extent of tumor resection, tumor control, surgical complications, visual function, endocrinological status, neuropsychological function, and functional performance status

Hiroki Morisako; Takeo Goto; Hiroyuki Goto; Christian Aisse Bohoun; Samantha Tamrakar; Kenji Ohata

2016

Scholarcy highlights

  • Clinical and ophthalmological examinations, imaging studies, endocrinological studies, neuropsychological function, and surgical complications in all patients who had undergone microsurgical resection for craniopharyngioma at Osaka City University hospital between January 2000 and December 2014 were retrospectively reviewed through the medical records
  • 1 patient died of uncontrollable tumor progression, and 2 patients died of unrelated diseases during the follow-up
  • Using an anatomical subclassification of craniopharyngioma to choose the most appropriate surgical approach is helpful in achieving that goal of aggressive resection
  • When using the various approaches based on our anatomical subclassification, we found that Gross-total resection or Near-total resection was achieved in 40 of the 40 primary cases and in of the recurrent cases
  • In the present study we examined the surgical outcomes achieved when using an anatomical classification of craniopharyngiomas that was based on tumor origin
  • Our results demonstrated the benefits of treating craniopharyngiomas via aggressive tumor resection, with the determination of the correct surgical approach essential in achieving a successful outcome

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