The outcome of surgical treatment for tumors of the craniocervical junction
Khaoroptham, S.; Jittapiromsak, P.; Siwanuwatn, R.; Chantra, K.
Journal of the Medical Association of Thailand 90(7): 1450-1457
2007
ISSN/ISBN: 0125-2208 PMID: 17710991 Document Number: 3087
Objective: The authors report the clinical, radiological, and surgical findings of patients with craniocervical junction tumors surgically treated in the institution over the last 8 years.Material and Method: A retrospective study was performed Clinical, radiological, and operative data were evaluated, and follow-up information was obtained from outpatient examinations, and telephone interviews.Results: There were 25 patients consisting of nine chordomas, eight meningiomas, three cysts, two schwannomas, one each of aneurysmal bone cyst, plasmacytoma, and metastasis. Twenty-nine operative procedures were performed, classified as 12 anterior, nine posterior-lateral, and eight posterior approaches. Gross total removal was achieved in 17 cases, subtotal removal in six cases, and partial removal in two cases. Re-operation was performed in six cases. Median follow-up time was 31 months. The authors found significant improvement in Karnofsky Performance Scale scores.Conclusion: Appropriate surgical approaches provide successful tumor removal with less surgical morbidities, nevertheless recurrent tumors occasionally occur, and so, long-term follow-up is mandatory.
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