J 2014

Diagnostic Value of Brain Tumor Neuroendoscopic Biopsy and Correlation with Open Tumor Resection

CHRASTINA, Jan; Zdeněk NOVÁK; Ivo ŘÍHA; Markéta HERMANOVÁ; Vera FEITOVA et al.

Základní údaje

Originální název

Diagnostic Value of Brain Tumor Neuroendoscopic Biopsy and Correlation with Open Tumor Resection

Autoři

CHRASTINA, Jan; Zdeněk NOVÁK; Ivo ŘÍHA; Markéta HERMANOVÁ a Vera FEITOVA

Vydání

JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY, NEW YORK, THIEME MEDICAL PUBL INC, 2014, 2193-6315

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.608

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/14:00076043

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

endoscopy; intracranial tumor; intraventricular tumor

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 29. 7. 2014 15:33, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background The risks of stereotactic biopsy are increased not only in tumors located in the vicinity of vascular structures, but also in cystic, intraventricular, and periventricular lesions. The use of neuroendoscopy for cystic, intraventricular, or periventricular brain tumors is particularly advantageous because of the possibility of biopsy and immediate hemostasis under direct vision. Neuroendoscopy provides the possibility of controlling tumor-associated obstructive hydrocephalus by means of endoscopic third ventriculostomy or septostomy. The literature gives good evidence for the diagnostic benefits of neuroendoscopic biopsy. The correlation of the histology obtained by neuroendoscopic biopsy and subsequent surgical resection may allow the evaluation of the validity of diagnostic neuroendoscopic biopsy. Materials and Methods Between 2003 and 2010, 23 patients with suspected cystic brain tumor (12 males; age range, 21-75 years; mean age, 49.7 years; and 11 females; age range, 22-76 years; mean age, 59.1 years) and 35 patients with intraventricular or periventricular brain tumors (19 males; age range, 6-80 years; mean age, 43.9 years; and 16 females; age range, 11-78 years; mean age, 46.2 years) underwent navigated neuroendoscopic biopsy. Results Diagnostic samples were obtained in all cystic tumors and in 94.7% of intraventricular or periventricular tumors. Tumor resection after neuroendoscopic biopsy was performed in seven patients with cystic tumors. The results of the histological analysis of samples taken during endoscopic biopsy and surgical resection were identical in five of these patients (70.1%). Four patients with intraventricular or periventricular tumors underwent tumor resection after neuroendoscopic biopsy. The histological results of neuroendoscopic biopsy and tumor resection were identical in three patients (75%). Neuroendoscopic biopsy was performed in six patients with expansive pseudocyst after tumor resection and oncological therapy. The results of the neuroendoscopic biopsy matched the results of open surgery in four patients (66%). In the two remaining patients, there was a difference in tumor grading. Conclusion The diagnostic accuracy of neuroendoscopic biopsy samples can be compared with the results of stereotactic biopsy. The histological results of endoscopically taken biopsy samples and the final histological results obtained during open surgery correlate in the majority of patients, and underlines the high diagnostic validity of neuroendoscopic biopsy.

Návaznosti

MSM0021622404, záměr
Název: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS