Cargando…

Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case

BACKGROUND: Teratocarcinosarcoma traversing the anterior skull base is rarely reported in literature. The heterogenous and invasive features of the tumor pose challenges for surgical planning. With technological advancements, the endoscopic endonasal approach (EEA) has been emerging as a workhorse o...

Descripción completa

Detalles Bibliográficos
Autores principales: Ni, Yunjia, Xu, Yuanzhi, Zhang, Xuemei, Dong, Pin, Li, Qi, Shen, Juan, Ren, Jie, Yuan, Zhaoqi, Wang, Fei, Zhang, Anke, Bi, Yunke, Zhu, Qingwei, Zhou, Qiangyi, Wang, Zhiyu, Wang, Jingjue, Lou, Meiqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281494/
https://www.ncbi.nlm.nih.gov/pubmed/35855277
http://dx.doi.org/10.3171/CASE21471
_version_ 1784746893105954816
author Ni, Yunjia
Xu, Yuanzhi
Zhang, Xuemei
Dong, Pin
Li, Qi
Shen, Juan
Ren, Jie
Yuan, Zhaoqi
Wang, Fei
Zhang, Anke
Bi, Yunke
Zhu, Qingwei
Zhou, Qiangyi
Wang, Zhiyu
Wang, Jingjue
Lou, Meiqing
author_facet Ni, Yunjia
Xu, Yuanzhi
Zhang, Xuemei
Dong, Pin
Li, Qi
Shen, Juan
Ren, Jie
Yuan, Zhaoqi
Wang, Fei
Zhang, Anke
Bi, Yunke
Zhu, Qingwei
Zhou, Qiangyi
Wang, Zhiyu
Wang, Jingjue
Lou, Meiqing
author_sort Ni, Yunjia
collection PubMed
description BACKGROUND: Teratocarcinosarcoma traversing the anterior skull base is rarely reported in literature. The heterogenous and invasive features of the tumor pose challenges for surgical planning. With technological advancements, the endoscopic endonasal approach (EEA) has been emerging as a workhorse of anterior skull base lesions. To date, no case has been reported of EEA totally removing teratocarcinosarcomas with intracranial extensions. OBSERVATIONS: The authors provided an illustrative case of a 50-year-old otherwise healthy man who presented with left-sided epistaxis for a year. Imaging studies revealed a 31 × 60-mm communicating lesion of the anterior skull base. Gross total resection via EEA was achieved, and multilayered skull base reconstruction was performed. LESSONS: The endoscopic approach may be safe and effective for resection of extensive teratocarcinosarcoma of the anterior skull base. To minimize the risk of postoperative cerebrospinal fluid leaks, multilayered skull base reconstruction and placement of lumbar drainage are vitally important.
format Online
Article
Text
id pubmed-9281494
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher American Association of Neurological Surgeons
record_format MEDLINE/PubMed
spelling pubmed-92814942022-07-18 Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case Ni, Yunjia Xu, Yuanzhi Zhang, Xuemei Dong, Pin Li, Qi Shen, Juan Ren, Jie Yuan, Zhaoqi Wang, Fei Zhang, Anke Bi, Yunke Zhu, Qingwei Zhou, Qiangyi Wang, Zhiyu Wang, Jingjue Lou, Meiqing J Neurosurg Case Lessons Case Lesson BACKGROUND: Teratocarcinosarcoma traversing the anterior skull base is rarely reported in literature. The heterogenous and invasive features of the tumor pose challenges for surgical planning. With technological advancements, the endoscopic endonasal approach (EEA) has been emerging as a workhorse of anterior skull base lesions. To date, no case has been reported of EEA totally removing teratocarcinosarcomas with intracranial extensions. OBSERVATIONS: The authors provided an illustrative case of a 50-year-old otherwise healthy man who presented with left-sided epistaxis for a year. Imaging studies revealed a 31 × 60-mm communicating lesion of the anterior skull base. Gross total resection via EEA was achieved, and multilayered skull base reconstruction was performed. LESSONS: The endoscopic approach may be safe and effective for resection of extensive teratocarcinosarcoma of the anterior skull base. To minimize the risk of postoperative cerebrospinal fluid leaks, multilayered skull base reconstruction and placement of lumbar drainage are vitally important. American Association of Neurological Surgeons 2021-10-18 /pmc/articles/PMC9281494/ /pubmed/35855277 http://dx.doi.org/10.3171/CASE21471 Text en © 2021 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Case Lesson
Ni, Yunjia
Xu, Yuanzhi
Zhang, Xuemei
Dong, Pin
Li, Qi
Shen, Juan
Ren, Jie
Yuan, Zhaoqi
Wang, Fei
Zhang, Anke
Bi, Yunke
Zhu, Qingwei
Zhou, Qiangyi
Wang, Zhiyu
Wang, Jingjue
Lou, Meiqing
Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title_full Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title_fullStr Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title_full_unstemmed Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title_short Endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
title_sort endoscopic endonasal resection of sinonasal teratocarcinosarcoma with intracranial breakthrough: illustrative case
topic Case Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281494/
https://www.ncbi.nlm.nih.gov/pubmed/35855277
http://dx.doi.org/10.3171/CASE21471
work_keys_str_mv AT niyunjia endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT xuyuanzhi endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT zhangxuemei endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT dongpin endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT liqi endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT shenjuan endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT renjie endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT yuanzhaoqi endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT wangfei endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT zhanganke endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT biyunke endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT zhuqingwei endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT zhouqiangyi endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT wangzhiyu endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT wangjingjue endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase
AT loumeiqing endoscopicendonasalresectionofsinonasalteratocarcinosarcomawithintracranialbreakthroughillustrativecase