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Preoperative Evaluation of Pineal Tumors

2011; Elsevier BV; Volume: 22; Issue: 3 Linguagem: Inglês

10.1016/j.nec.2011.04.003

1558-1349

Jonathon J. Parker, Allen Waziri,

Teratomas and Epidermoid Cysts

The role of the neurosurgeon is critical for initiating preoperative evaluation and care for pineal region tumors. Preoperative evaluation of pineal region tumor can be simplified into a checklist: (1) evaluation for emergent surgical intervention due to symptomatic obstructive hydrocephalus or mass effect; (2) development of a focused differential after acquisition of craniospinal MRI, serum and cerebrospinal fluid oncoprotein levels, and cerebrospinal fluid cytology ; and (3) decision on whether a biopsy, surgical resection, or both are necessary. Subsequent biopsy or surgical resection is the first step of tumor management and leads to coordination of consultation with medical and radiation oncology.