MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE
The use of the oncological principle – en bloc ablastic tumor resection – can expect a breakthrough in the treatment of baseline unfavorable patient groups. In the described case of atypical meningioma, its en bloc resection presents significant technical difficulties when accomplishing the task ass...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2015-04-01
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| Series: | Опухоли головы и шеи |
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| Online Access: | https://ogsh.abvpress.ru/jour/article/view/113 |
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| author | V. B. Karakhan V. A. Aleshin D. M. Belov N. V. Sevyan D. K. Stelmakh A. V. Zotov |
| author_facet | V. B. Karakhan V. A. Aleshin D. M. Belov N. V. Sevyan D. K. Stelmakh A. V. Zotov |
| author_sort | V. B. Karakhan |
| collection | DOAJ |
| description | The use of the oncological principle – en bloc ablastic tumor resection – can expect a breakthrough in the treatment of baseline unfavorable patient groups. In the described case of atypical meningioma, its en bloc resection presents significant technical difficulties when accomplishing the task associated with the giant sizes of a tumor as an iceberg growing outside and into the cranial cavity, its rich vascularization from both the internal and external carotid artery system, with the involvement of the superior sagittal sinus, the presence of a dense bone crown that combines the three-component construction of a neoplasm, which made difficult safe mobilization and scanning in the cranial cavity.In such topographic variants, the criteria for the Simpson radical meningioma resection are inapplicable and only en bloc tumor resection may reflect the oncological principles of surgery. The technologies of en bloc resection of intracranial meningiomas should be more frequently used because preoperative neurovisualization and even histological diagnosis does not always allow the grade of meningiomas to be specified. |
| first_indexed | 2024-04-10T01:59:30Z |
| format | Article |
| id | doaj.art-2b478523c440467cafed01ac9c2076db |
| institution | Directory Open Access Journal |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| last_indexed | 2024-04-10T01:59:30Z |
| publishDate | 2015-04-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj.art-2b478523c440467cafed01ac9c2076db2023-03-13T08:43:18ZrusABV-pressОпухоли головы и шеи2222-14682411-46342015-04-0101505410.17650/2222-1468-2014-0-1-50-54113MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASEV. B. Karakhan0V. A. Aleshin1D. M. Belov2N. V. Sevyan3D. K. Stelmakh4A. V. Zotov5ФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваОтделение опухолей черепно-челюстно-лицевой области НИИ клинической онкологии ФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваОтделение опухолей черепно-челюстно-лицевой области ФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, МоскваThe use of the oncological principle – en bloc ablastic tumor resection – can expect a breakthrough in the treatment of baseline unfavorable patient groups. In the described case of atypical meningioma, its en bloc resection presents significant technical difficulties when accomplishing the task associated with the giant sizes of a tumor as an iceberg growing outside and into the cranial cavity, its rich vascularization from both the internal and external carotid artery system, with the involvement of the superior sagittal sinus, the presence of a dense bone crown that combines the three-component construction of a neoplasm, which made difficult safe mobilization and scanning in the cranial cavity.In such topographic variants, the criteria for the Simpson radical meningioma resection are inapplicable and only en bloc tumor resection may reflect the oncological principles of surgery. The technologies of en bloc resection of intracranial meningiomas should be more frequently used because preoperative neurovisualization and even histological diagnosis does not always allow the grade of meningiomas to be specified.https://ogsh.abvpress.ru/jour/article/view/113менингиома атипическая гигантскаяхирургическое лечениедлительный катамнез |
| spellingShingle | V. B. Karakhan V. A. Aleshin D. M. Belov N. V. Sevyan D. K. Stelmakh A. V. Zotov MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE Опухоли головы и шеи менингиома атипическая гигантская хирургическое лечение длительный катамнез |
| title | MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE |
| title_full | MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE |
| title_fullStr | MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE |
| title_full_unstemmed | MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE |
| title_short | MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE |
| title_sort | must oncological principles be in the surgery of meningiomas en bloc removal of giant right frontal meningioma with extracranial spread description of a clinical case |
| topic | менингиома атипическая гигантская хирургическое лечение длительный катамнез |
| url | https://ogsh.abvpress.ru/jour/article/view/113 |
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