Document Detail


The role of stereotactic cyst aspiration for glial and metastatic brain tumors.
MedLine Citation:
PMID:  10975535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the role of stereotactic cyst aspiration in the context of multimodality management of cystic glial and metastatic tumors, we retrospectively reviewed our experience with 38 patients during a 10-year interval. METHODS: All 38 patients had one or more computed tomography or magnetic resonance imaging guided stereotactic cyst aspirations. Twenty-seven patients had glial neoplasms and 11 had metastatic brain tumors. Twenty-two patients underwent cyst aspiration as the initial treatment modality while 15 patients had cyst aspiration following previous treatments. RESULTS: In the immediate postoperative period, 19 of the 27 (70%) patients with gliomas and nine of the 11 (82%) patients with metastatic tumors experienced symptomatic improvement. No procedure-related morbidity was encountered. Twelve patients (31.5%) eventually required a catheter-reservoir system. Thirty-seven percent of patients with cystic glial neoplasms and 18% of patients with metastatic tumors had delayed cytoreductive surgery by craniotomy subsequent to stereotactic cyst aspiration. Reduction in tumor volume following aspiration facilitated Gamma knife radiosurgery in seven patients. CONCLUSION: Single stereotactic aspiration is a low risk procedure that provides immediate relief of symptoms in patients with cystic brain tumors. It appears to be valuable together with the use of other therapeutic strategies.
Authors:
A Niranjan; T Witham; D Kondziolka; L D Lunsford
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  27     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-12-11     Completed Date:  2000-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  229-35     Citation Subset:  IM    
Affiliation:
The Department of Neurological Surgery, University of Pittsburgh Medical Center, PA 15213, USA.
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MeSH Terms
Descriptor/Qualifier:
Brain Neoplasms / diagnosis,  drug therapy,  secondary,  surgery*
Chemotherapy, Adjuvant
Craniotomy
Cysts / diagnosis,  surgery*
Drainage*
Glioma / surgery*
Humans
Radiosurgery
Reoperation
Retrospective Studies
Stereotaxic Techniques*
Survival Analysis
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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