Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642014000500157 |
Resumo: | Introduction Malignancies of the clivus and petroclival region are mainly chordomas and chondrosarcomas. Although a spectrum of malignancies may present in this area, a finite group of commonly encountered malignant pathologies will be the focus of this review, as they are recognized to be formidable pathologies due to adjacent critical neurovascular structures and challenging surgical approaches. Objectives The objective is to review the literature regarding medical and surgical management of malignant tumors of the clival and petroclival region with a focus on clinical presentation, diagnostic identification, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to the skull base. Data Synthesis A literature review was conducted, searching for basic science and clinical evidence from PubMed, Medline, and the Cochrane Database. The selection criteria encompassed original articles including data from both basic science and clinical literature, case series, case reports, and review articles on the etiology, diagnosis, treatment, and management of skull base malignancies in the clival and petroclival region. Conclusions The management of petroclival malignancies requires a multidisciplinary team to deliver the most complete surgical resection, with minimal morbidity, followed by appropriate adjuvant therapy. We advocate the combination of endoscopic and open approaches (traditional or minimally invasive) as required by the particular tumor followed by radiation therapy to optimize oncologic outcomes. |
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Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Regionskull basemalignancyclivalpetroclivalendoscopic endonasalcraniotomychordomachondrosarcomaplasmacytoma Introduction Malignancies of the clivus and petroclival region are mainly chordomas and chondrosarcomas. Although a spectrum of malignancies may present in this area, a finite group of commonly encountered malignant pathologies will be the focus of this review, as they are recognized to be formidable pathologies due to adjacent critical neurovascular structures and challenging surgical approaches. Objectives The objective is to review the literature regarding medical and surgical management of malignant tumors of the clival and petroclival region with a focus on clinical presentation, diagnostic identification, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to the skull base. Data Synthesis A literature review was conducted, searching for basic science and clinical evidence from PubMed, Medline, and the Cochrane Database. The selection criteria encompassed original articles including data from both basic science and clinical literature, case series, case reports, and review articles on the etiology, diagnosis, treatment, and management of skull base malignancies in the clival and petroclival region. Conclusions The management of petroclival malignancies requires a multidisciplinary team to deliver the most complete surgical resection, with minimal morbidity, followed by appropriate adjuvant therapy. We advocate the combination of endoscopic and open approaches (traditional or minimally invasive) as required by the particular tumor followed by radiation therapy to optimize oncologic outcomes. Fundação Otorrinolaringologia2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642014000500157International Archives of Otorhinolaryngology v.18 suppl.2 2014reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0034-1395267info:eu-repo/semantics/openAccessMohyeldin,AhmedPrevedello,Daniel M.Jamshidi,Ali O.Filho,Leo F.S. DitzelCarrau,Ricardo L.eng2015-08-24T00:00:00Zoai:scielo:S1809-48642014000500157Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2015-08-24T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
title |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
spellingShingle |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region Mohyeldin,Ahmed skull base malignancy clival petroclival endoscopic endonasal craniotomy chordoma chondrosarcoma plasmacytoma |
title_short |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
title_full |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
title_fullStr |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
title_full_unstemmed |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
title_sort |
Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region |
author |
Mohyeldin,Ahmed |
author_facet |
Mohyeldin,Ahmed Prevedello,Daniel M. Jamshidi,Ali O. Filho,Leo F.S. Ditzel Carrau,Ricardo L. |
author_role |
author |
author2 |
Prevedello,Daniel M. Jamshidi,Ali O. Filho,Leo F.S. Ditzel Carrau,Ricardo L. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Mohyeldin,Ahmed Prevedello,Daniel M. Jamshidi,Ali O. Filho,Leo F.S. Ditzel Carrau,Ricardo L. |
dc.subject.por.fl_str_mv |
skull base malignancy clival petroclival endoscopic endonasal craniotomy chordoma chondrosarcoma plasmacytoma |
topic |
skull base malignancy clival petroclival endoscopic endonasal craniotomy chordoma chondrosarcoma plasmacytoma |
description |
Introduction Malignancies of the clivus and petroclival region are mainly chordomas and chondrosarcomas. Although a spectrum of malignancies may present in this area, a finite group of commonly encountered malignant pathologies will be the focus of this review, as they are recognized to be formidable pathologies due to adjacent critical neurovascular structures and challenging surgical approaches. Objectives The objective is to review the literature regarding medical and surgical management of malignant tumors of the clival and petroclival region with a focus on clinical presentation, diagnostic identification, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to the skull base. Data Synthesis A literature review was conducted, searching for basic science and clinical evidence from PubMed, Medline, and the Cochrane Database. The selection criteria encompassed original articles including data from both basic science and clinical literature, case series, case reports, and review articles on the etiology, diagnosis, treatment, and management of skull base malignancies in the clival and petroclival region. Conclusions The management of petroclival malignancies requires a multidisciplinary team to deliver the most complete surgical resection, with minimal morbidity, followed by appropriate adjuvant therapy. We advocate the combination of endoscopic and open approaches (traditional or minimally invasive) as required by the particular tumor followed by radiation therapy to optimize oncologic outcomes. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642014000500157 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642014000500157 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0034-1395267 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.18 suppl.2 2014 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203975181139968 |