Abstract
The stereotactic approach to intracranial expansive lesions is to be considered complementary to the traditional “free hand” surgery. With both techniques it is possible to explore or remove any kind of lesion sited everywhere into the cranial space. When an intraparenchimatous lesion is to be approached the only help to the surgeon is the possibility to distinguish normal from pathological tissue. This is not always possible. A surgical approach with the stereotactic frame not only helps to guide exactely the position of the surgical instrument into the tumor, but also to recognize the volume of the lesion when removal is acheavable (open-stereotaxis). 362 (26%) out of 1385 patients with intracranial expansive lesions were approached with stereotactic guide from May 1983 to May 1990. In 96% of these patients serial stereotactic samples were sufficient to reach an histopathological diagnosis. The most important result is that about 20% of all patients had not neoplasms, 35% had slow growing tumors and 45% had fast growing or malignant tumors. Stereoguided histopathology helps in making decision for a more adequate further treatment.
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© 1991 Springer Science+Business Media Dordrecht
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Giunta, F., Scipione, V., Zorzi, F., Marini, G. (1991). Stereotactic Approach in Brain Tumors. In: Paoletti, P., Takakura, K., Walker, M.D., Butti, G., Pezzotta, S. (eds) Neuro-Oncology. Developments in Oncology, vol 66. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3152-0_10
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DOI: https://doi.org/10.1007/978-94-011-3152-0_10
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-5390-7
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