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Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma.
World Neurosurg. 2016 Nov; 95:618.e7-618.e12.WN

Abstract

BACKGROUND

Craniopharyngiomas are uncommon benign locally aggressive epithelial tumors mostly located in the sellar and suprasellar regions. An infrasellar origin of these tumors is rare.

CASE DESCRIPTION

The authors report a 22-year-old male patient with a purely infrasellar adamantinomatous craniopharyngioma centered in the nasopharynx with extension into the posterior nasal septum, sphenoid sinus, and clivus. Gross total resection was achieved using an expanded endonasal endoscopic transethmoidal, transsphenoidal, transpterygoid, and transclival approach. Follow-up at one year demonstrated no evidence of disease recurrence.

CONCLUSIONS

Infrasellar craniopharyngioma should be included in the differential diagnosis of sinonasal masses even in the absence of sellar extension. Expanded endonasal endoscopic approaches provide excellent access to and visualization of such lesions and may obviate the need for postoperative radiotherapy when gross total resection is achieved.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Abou-Al-Shaar H
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Blitz AM
Division of Neuroradiology, Department of Radiology and Radiologic Science, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Rodriguez FJ
Division of Neuropathology, Department of Pathology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Ishii M
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Gallia GL
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA; Department of Oncology, Johns Hopkins Hospital, Baltimore, Maryland, USA; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: ggallia1@jhmi.edu.

MeSH

Cranial Fossa, PosteriorCraniopharyngiomaHumansMagnetic Resonance ImagingMaleNasal CavityNasopharyngeal NeoplasmsNatural Orifice Endoscopic SurgeryNeuroendoscopyPituitary NeoplasmsSphenoid SinusTomography, X-Ray ComputedYoung Adult

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27554305

Citation

Abou-Al-Shaar, Hussam, et al. "Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma." World Neurosurgery, vol. 95, 2016, pp. 618.e7-618.e12.
Abou-Al-Shaar H, Blitz AM, Rodriguez FJ, et al. Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma. World Neurosurg. 2016;95:618.e7-618.e12.
Abou-Al-Shaar, H., Blitz, A. M., Rodriguez, F. J., Ishii, M., & Gallia, G. L. (2016). Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma. World Neurosurgery, 95, e7-e12. https://doi.org/10.1016/j.wneu.2016.08.044
Abou-Al-Shaar H, et al. Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma. World Neurosurg. 2016;95:618.e7-618.e12. PubMed PMID: 27554305.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma. AU - Abou-Al-Shaar,Hussam, AU - Blitz,Ari M, AU - Rodriguez,Fausto J, AU - Ishii,Masaru, AU - Gallia,Gary L, Y1 - 2016/08/21/ PY - 2016/06/02/received PY - 2016/08/09/revised PY - 2016/08/10/accepted PY - 2016/8/25/pubmed PY - 2017/10/3/medline PY - 2016/8/25/entrez KW - Adamantinoma KW - Craniopharyngioma KW - Expanded endonasal endoscopic approach KW - Infrasellar KW - Nasopharynx SP - 618.e7 EP - 618.e12 JF - World neurosurgery JO - World Neurosurg VL - 95 N2 - BACKGROUND: Craniopharyngiomas are uncommon benign locally aggressive epithelial tumors mostly located in the sellar and suprasellar regions. An infrasellar origin of these tumors is rare. CASE DESCRIPTION: The authors report a 22-year-old male patient with a purely infrasellar adamantinomatous craniopharyngioma centered in the nasopharynx with extension into the posterior nasal septum, sphenoid sinus, and clivus. Gross total resection was achieved using an expanded endonasal endoscopic transethmoidal, transsphenoidal, transpterygoid, and transclival approach. Follow-up at one year demonstrated no evidence of disease recurrence. CONCLUSIONS: Infrasellar craniopharyngioma should be included in the differential diagnosis of sinonasal masses even in the absence of sellar extension. Expanded endonasal endoscopic approaches provide excellent access to and visualization of such lesions and may obviate the need for postoperative radiotherapy when gross total resection is achieved. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/27554305/Expanded_Endonasal_Endoscopic_Approach_for_Resection_of_an_Infrasellar_Craniopharyngioma_ DB - PRIME DP - Unbound Medicine ER -