Optimization of surgical treatment of epidermoid brain tumors

Despite the relatively rare occurrence of epidermoid brain tumors (EBT), high rates of postoperative mortality and a high incidence of tumor recurrence are marked in the operated patients. The purpose of research is to improve treatment results of patients with EBT by determining optimal treatment t...

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Main Authors: Sirko A.G., Romanukha D.N.
Format: Article
Language:English
Published: Dnipro State Medical University 2015-09-01
Series:Medičnì Perspektivi
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Online Access:http://medpers.dsma.dp.ua/issues/2015/N3/61-67.pdf
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author Sirko A.G.
Romanukha D.N.
author_facet Sirko A.G.
Romanukha D.N.
author_sort Sirko A.G.
collection DOAJ
description Despite the relatively rare occurrence of epidermoid brain tumors (EBT), high rates of postoperative mortality and a high incidence of tumor recurrence are marked in the operated patients. The purpose of research is to improve treatment results of patients with EBT by determining optimal treatment tactic. A retrospective research of 17 patients with verified EBT was carried out and literary sources on various problems of their surgical treatment were analyzed. By localization EBT were devided as following: subtentorial localization was observed in 8 (47%) patients, supratentorial – in 7 (41%). Two patients (12%) had suprasubtentorial localisation of EBT. Intra- and postoperative complications were observed in 3 (18%) of cases; of patients 18% (3 patients) were discharged with deterioration of neurological sta¬tus. The main purpose in EBT removing is total tumor removal in conditions of preventing iatrogenic injury of vessels, nerves and functionally important brain areas. Radical removal of cholesteatomas using microsurgical techniques with relatively low com¬plication level provides a long disease-free period and a high quality of life of operated patients.
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spelling doaj-art-db97f8af4aef405bb8de9c088899cbd92025-08-20T02:50:59ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042307-04042015-09-012036167Optimization of surgical treatment of epidermoid brain tumorsSirko A.G.0Romanukha D.N. 1SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"Despite the relatively rare occurrence of epidermoid brain tumors (EBT), high rates of postoperative mortality and a high incidence of tumor recurrence are marked in the operated patients. The purpose of research is to improve treatment results of patients with EBT by determining optimal treatment tactic. A retrospective research of 17 patients with verified EBT was carried out and literary sources on various problems of their surgical treatment were analyzed. By localization EBT were devided as following: subtentorial localization was observed in 8 (47%) patients, supratentorial – in 7 (41%). Two patients (12%) had suprasubtentorial localisation of EBT. Intra- and postoperative complications were observed in 3 (18%) of cases; of patients 18% (3 patients) were discharged with deterioration of neurological sta¬tus. The main purpose in EBT removing is total tumor removal in conditions of preventing iatrogenic injury of vessels, nerves and functionally important brain areas. Radical removal of cholesteatomas using microsurgical techniques with relatively low com¬plication level provides a long disease-free period and a high quality of life of operated patients.http://medpers.dsma.dp.ua/issues/2015/N3/61-67.pdfepidermoid tumorepidermoid cystsсholesteatomasurgical treatmentcomplicationsepidermoid recurrence
spellingShingle Sirko A.G.
Romanukha D.N.
Optimization of surgical treatment of epidermoid brain tumors
Medičnì Perspektivi
epidermoid tumor
epidermoid cysts
сholesteatoma
surgical treatment
complications
epidermoid recurrence
title Optimization of surgical treatment of epidermoid brain tumors
title_full Optimization of surgical treatment of epidermoid brain tumors
title_fullStr Optimization of surgical treatment of epidermoid brain tumors
title_full_unstemmed Optimization of surgical treatment of epidermoid brain tumors
title_short Optimization of surgical treatment of epidermoid brain tumors
title_sort optimization of surgical treatment of epidermoid brain tumors
topic epidermoid tumor
epidermoid cysts
сholesteatoma
surgical treatment
complications
epidermoid recurrence
url http://medpers.dsma.dp.ua/issues/2015/N3/61-67.pdf
work_keys_str_mv AT sirkoag optimizationofsurgicaltreatmentofepidermoidbraintumors
AT romanukhadn optimizationofsurgicaltreatmentofepidermoidbraintumors