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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...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2021
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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 |
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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 |
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