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Practical application of precision oncology in adult onset craniopharyngiomas.
Front Endocrinol (Lausanne)
December 2024
Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.
Introduction: Craniopharyngiomas (CPs) are benign and rare tumors found in adults. Their location close to vital neurovascular structures makes traditional treatment modalities (surgery and radiation) challenging and potentially fraught with morbidity. The 2021 WHO classification has divided what was previously considered two subtypes of craniopharyngioma into separate entities.
View Article and Find Full Text PDFEndoscopic transsphenoidal surgery for infradiaphragmatic craniopharyngiomas and impact of diaphragm sellae competence on hypothalamic injury.
Sci Rep
December 2024
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Investigate the impact of diaphragm sellae competence on surgical outcomes and risk factors for postoperative hypothalamic injury (HI) in patients undergoing endoscopic transsphenoidal surgery (ETS) for infradiaphragmatic craniopharyngiomas (ICs). A retrospective analysis of 54 consecutive patients (2016-2023) with ICs treated by ETS was conducted. All tumors originated from the sellar region inferior to the diaphragm sellae and were classified into two subtypes in terms of diaphragm sellae competence: IC with competent diaphragm sellae (IC-CDS) and IC with incompetent diaphragm sellae (IC-IDS).
View Article and Find Full Text PDFResponse assessment in pediatric neurooncology (RAPNO) criteria revisited: a practical navigation guide for neuroradiologists.
Neuroradiology
December 2024
Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
The Response Assessment in Pediatric Neuro-Oncology (RAPNO) Working Group is an international, collaborative network of experts dedicated to pediatric central nervous system (CNS) tumors that was created in 2011. Since then, six RAPNO articles with imaging guidelines for response assessment in diverse pediatric tumor subgroups have been published, namely: 1) medulloblastomas and leptomeningeal seeding tumors (2018), 2) pediatric high-grade gliomas (2020), 3) pediatric low-grade gliomas (2020), 4) diffuse intrinsic pontine gliomas (2020), 5) pediatric intracranial ependymomas (2022) and 6) pediatric craniopharyngiomas (2023). The purpose of this article is to review all current available RAPNO criteria using a systematized and comparative approach centered on the role of neuroradiologists and supported by neuroimaging examples.
View Article and Find Full Text PDF[Modern concepts of topographic-anatomical classification of craniopharyngiomas: literature review].
Zh Vopr Neirokhir Im N N Burdenko
October 2024
Burdenko Neurosurgical Center, Moscow, Russia.
Article Synopsis
- Craniopharyngiomas (CP) are benign tumors located near key brain structures, and their surgical removal depends on their specific anatomical positioning.
- A literature review identified 21 studies analyzing the topographic and anatomical classifications of CP, focusing on relationships to critical areas like the hypothalamic-pituitary axis and third ventricle.
- Understanding these classifications is essential for determining the appropriate surgical methods and improving diagnostic techniques, particularly through advanced imaging like high-resolution MRI.
Pear-Shaped Craniopharyngioma: Selection of the Transcranial Approach With Respect to Topographical Classifications.
Cureus
July 2024
Department of Neurosurgery, King Faisal Medical Complex, Taif City, SAU.
We present the selection of the transcranial microsurgical approach, operative treatment, and outcomes following the resection of a pear-shaped craniopharyngioma (CP). A nine-year-old boy was operated on and followed up for 2.5 years after radical resection of the extrapial CP.
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