Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma

Hussam Abou-Al-Shaar, Ari M Blitz, Fausto J Rodriguez, Masaru Ishii, Gary L Gallia

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)618
Number of pages1
JournalWorld Neurosurgery
Volume95
DOIs
StatePublished - Nov 1 2016

Fingerprint

Craniopharyngioma
Sphenoid Sinus
Posterior Cranial Fossa
Nasal Septum
Nasopharynx
Neoplasms
Differential Diagnosis
Radiotherapy
Recurrence

Keywords

  • Adamantinoma
  • Craniopharyngioma
  • Expanded endonasal endoscopic approach
  • Infrasellar
  • Nasopharynx

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma. / Abou-Al-Shaar, Hussam; Blitz, Ari M; Rodriguez, Fausto J; Ishii, Masaru; Gallia, Gary L.

In: World Neurosurgery, Vol. 95, 01.11.2016, p. 618.

Research output: Contribution to journalArticle

@article{daa0e140b5584b4a81b79c58b0dcb018,
title = "Expanded Endonasal Endoscopic Approach for Resection of an Infrasellar Craniopharyngioma",
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.",
keywords = "Adamantinoma, Craniopharyngioma, Expanded endonasal endoscopic approach, Infrasellar, Nasopharynx",
author = "Hussam Abou-Al-Shaar and Blitz, {Ari M} and Rodriguez, {Fausto J} and Masaru Ishii and Gallia, {Gary L}",
year = "2016",
month = "11",
day = "1",
doi = "10.1016/j.wneu.2016.08.044",
language = "English (US)",
volume = "95",
pages = "618",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",

}

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

PY - 2016/11/1

Y1 - 2016/11/1

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.

AB - 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.

KW - Adamantinoma

KW - Craniopharyngioma

KW - Expanded endonasal endoscopic approach

KW - Infrasellar

KW - Nasopharynx

UR - http://www.scopus.com/inward/record.url?scp=84992727839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84992727839&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2016.08.044

DO - 10.1016/j.wneu.2016.08.044

M3 - Article

C2 - 27554305

AN - SCOPUS:84992727839

VL - 95

SP - 618

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -