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Intracranial Solitary Fibrous Tumor of the Skull Base: 2 Cases and Systematic Review of the Literature.
Gopakumar, Sricharan; Srinivasan, Visish M; Hadley, Caroline C; Anand, Adrish; Daou, Marc; Karas, Patrick J; Mandel, Jacob; Gopinath, Shankar P; Patel, Akash J.
Afiliación
  • Gopakumar S; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Srinivasan VM; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Hadley CC; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Anand A; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Daou M; Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
  • Karas PJ; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Mandel J; Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.
  • Gopinath SP; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
  • Patel AJ; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA; Jan and Dan Duncan Neurological Research Institute, Texas Children's Hospital, Houston, Texas, USA. Electronic address: ak
World Neurosurg ; 149: e345-e359, 2021 05.
Article en En | MEDLINE | ID: mdl-33609763
BACKGROUND: Intracranial solitary fibrous tumors (ISFTs) are rare neoplasms of mesenchymal origin that originate from the meninges. ISFTs of the skull base can be challenging to treat, as resection can be complicated by skull base anatomy. We present 2 cases of ISFT, the first manifesting with compressive cranial neuropathy from Meckel cave involvement and the second a posterior fossa lesion causing symptomatic hydrocephalus. METHODS: A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PubMed database was queried with title/abstract keywords "intracranial," "solitary fibrous tumor," "hemangiopericytoma," "SFT," and "HPC." Search results were reviewed to exclude cases not involving the skull base. References from all selected articles were reviewed for potential additional cases. Patient demographic and clinical data from 58 identified skull base cases were collected for qualitative synthesis. RESULTS: Visual disturbances were the most common presenting symptom (30 cases, 52%) followed by headache (22 cases, 38%). The most common site of involvement was the sellar/parasellar region (18 cases, 31%) followed by middle fossa/temporal bone (14 cases, 24%). Resection was performed in 55 cases; gross total resection was reported in 26 cases (45%) and subtotal resection was reported in 21 cases (36%). Tumor recurrence was documented in 15 cases (26%) with median and mean follow-up periods of 16 and 29.9 months, respectively. CONCLUSIONS: We discuss presentation, imaging, histopathology, and management considerations for ISFTs while highlighting the potentially complex nature of skull base lesions and need for multidisciplinary approach to treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Base del Cráneo / Tumores Fibrosos Solitarios Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Límite: Adult / Female / Humans / Male Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Base del Cráneo / Tumores Fibrosos Solitarios Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Límite: Adult / Female / Humans / Male Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos