Pineal Region Tumors: Surgery Perspective

摘要: Since the seminal articles that described safe and effective approaches to pineal region in early 1970s [1], [2], numerous surgical series have established open surgery as a critical tool treatment of lesions [3]–[13]. Although difficulties perils were considered prohibitive during nascent years neurosurgery [14]–[16], advent operating microscope, microneurosurgical techniques, magnetic resonance imaging (MRI), development neurologic intensive care specialty all helped develop within reasonable degree safety. Open is choice for benign tumors. Depending on specific histology, has variable role malignant tumors with mixed elements, either means cytoreduction prior chemotherapy and/or radiation [17], [18] or best option eradicate elements after chemotherapy/radiation [4], [19]. Additionally, through immediate removal obstructing lesions, can obviate need permanent cerebrospinal fluid (CSF) diversion. also offers comprehensive tissue sampling group be histology are notoriously difficult diagnose.