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Stereotactic Biopsies for Tumors: Indications, Limits, Diagnosis with Histopathology and other Laboratory Techniques

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Practical Handbook of Neurosurgery

Abstract

The concept of stereotactic neurosurgery was introduced by Horsley and Clarke [4] on an experimental basis to explore the primate brain in 1905. This technology was adapted to the human brain by Spiegel and Wycis in 1947 [13] and subsequently stereotactic neurosurgical techniques have been applied not only for examination in the treatment for movement disorders and of chronic pain syndromes, but also in the management of brain tumors. With the development of CT scanning in the 1970s and of MRI scanning in the 1980s the use of stereotactic brain biopsy increasingly became widespread and was found to improve diagnostic yield of histological diagnosis with low morbidity and mortality, even in deep seated and highly eloquent areas.

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References

  1. Darling JL (1993) Tissue culture of stereotactic biopsy material. In: Thomas DGT (ed) Stereotactic and image directed surgery of brain tumors. Churchill Livingstone, London, pp 29–37

    Google Scholar 

  2. Dorward NL, Paleologos TS, Alberti O, Thomas DGT (2002) The advantages of frameless stereotatic biopsy over frame-based biopsy. Br J Neurosurg 16(2): 110–118

    Article  CAS  PubMed  Google Scholar 

  3. Hegi ME, Diserens AC, Gorlia T, Hamou MF, de Tribolet N, Weller M, Kros JM, Hainfeller JA, Mason W, Mariani L, Bromberg JE, Hau P, Mirimanoff RO, Cairncross JG, Janzer RC, Stupp R (2005) MGMT gene silencing and benefit from temozolomide in glioblastoma. N Engl J Med 352: 997–1003

    Article  CAS  PubMed  Google Scholar 

  4. Horsley V, Clarke RH (1905) The structure and functions of the cerebellum examined by a new method. Brain 28(1): 1–98

    Article  Google Scholar 

  5. Ino Y, Betensky RA, Zlatescu C, Sasaki H, Macdonald DR, Stemmer-Rachaminov AO, Ramsey DA, Caincross JG, Louis DN (2001) Molecular subtypes of anaplastic oligodendroglioma: implications for patient management at diagnosis. Clin Cancer Res 7: 839–845

    CAS  PubMed  Google Scholar 

  6. Kratimenos GP, Thomas DGT (1993) The role of image-directed biopsy in the diagnosis and management of brainstem lesions. Br J Neurosurg 7: 155–164

    Article  CAS  PubMed  Google Scholar 

  7. Paleologos TS, Dorward NL, Wadley JP, Thomas DGT (2001) Clinical validation of true frameless stereotatic biopsy: analysis of the first 125 consecutive cases. Neurosurgery 49(4): 830–835

    Article  CAS  PubMed  Google Scholar 

  8. Parkins CS, Darling JL, Gill SS, Wilson CB, Revesz T, Thomas DGT (1991) Cell profileration in serial biopsies through human malignant brain tumors, measurement using Ki-67 antibody labelling. Br J Neurosurg 5: 289–298

    Article  CAS  PubMed  Google Scholar 

  9. Pell MF, Thomas DGT (1994) Handbook of stereotaxy using the CRW apparatus. Williams & Wilkins, Baltimore, pp 1–240

    Google Scholar 

  10. Revesz T, Scaravilli F (1993) Prognostic value of histopathology in stereotactic biopsy. In: Thomas DGT (ed) Stereotactic and image directed surgery of brain Tumors. Churchill Livingstone, London, pp 65–87

    Google Scholar 

  11. Roujeau T, Machado G, Garnett MR, Miquel C, Puget S, Geoerger B, Grill J, Boddaert N, Di Rocco F, Zerah M, Sainte-Rose C (2007-Jul) Stereotactic biopsy of diffuse pontine lesions in children. J Neurosurg 107(1 Suppl): 1–4

    PubMed  Google Scholar 

  12. Scrideli CA, Carlotti CG Jr, Okamoto OK, Andrade VS, Cortez MAA, Motta FJN, Lucio-Eterovic AK, Neder L, Rosenberg S, Oba-Shinjo SM, Marie SKN, Tone LG (2008) Gene expression profile analysis of primary glioblastomas and non-neoplastic brain tissue: identification of potential target genes by oligonucleotide microarray and real-time quantitative PCR. J Neurooncol 88: 281–291

    Article  CAS  PubMed  Google Scholar 

  13. Spiegel EA, Wycis HT, Marks M, Lee AJ (1947) Stereotactic apparatus for operations on the human brain. Science 106: 349–350

    Article  PubMed  Google Scholar 

  14. Thomas DGT, Darling JL, Watkins BA, Hine MC (1984) A simple method for growth of cell culture from small biopsies of brain tumors taken during CT-directed stereotactic procedures. Acta Neurochir (Suppl) 33: 177–181

    Google Scholar 

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Thomas, D.G.T. (2009). Stereotactic Biopsies for Tumors: Indications, Limits, Diagnosis with Histopathology and other Laboratory Techniques. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_33

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  • DOI: https://doi.org/10.1007/978-3-211-84820-3_33

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-84819-7

  • Online ISBN: 978-3-211-84820-3

  • eBook Packages: MedicineMedicine (R0)

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