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Spinal
Cord and Intradural-Extraparenchymal Spinal Tumors: Current Best Care
Practices and Strategies
Andrew T. Parsa, Janet Lee, Ian F. Parney, Philip
Weinstein, Paul C. McCormick, Christopher Ames
University
of California, 505 Parnassus Avenue, M-779, UCSF-Department of
Neurological Surgery, San Francisco, California, 94143, USA; Tel.:
+1-415-353-2629; E-mail: parsaa@neurosurg.ucsf.edu
[A.T.P.]. Department of Neurological Surgery, University of
California [J.L.,
I.F.P., P.W., C.A.]. Department of Neurological Surgery, Columbia University
College of Physicians and Surgeons, San Francisco, CA, USA [P.C.M.].
The
management of patients with intradural spinal tumors differs in many
respects from approaches taken for patients with intracranial
tumors.
Intramedullary lesions are often completely surrounded by normal
spinal cord, displacing vital functional tracts eccentrically.
Extramedullary lesions can drastically compress the spinal cord and
nerve roots, reducing normal tissue to a ribbon-like
consistency.
The small amount of normal tissue relative to tumor has implications
for surgery and postoperative adjuvant therapy.
In addition, operative intervention must take spinal stability into
consideration.
In this report, we describe the current best care practices and
strategies for patients with a diagnosis of spinal astrocytoma,
ependymoma, hemangioblastoma, schwannoma, and meningioma.
Treatment of patients with intradural tumors of the spinal cord and
adjoining structures has changed over the past 20 years.
Advances in many disciplines including neuroradiology, neurosurgery,
neurooncology, and neuropathology have contributed to expediting
diagnosis and improving outcomes.
Keywords: ependymoma,
hemangioblastoma, meningioma, schwannoma, spinal astrocytoma
Copyright
©
2004 Kluwer Academic Publishers.
All rights reserved
Source: http://ipsapp007.kluweronline.com/IPS/content/ext/x/J/5042/I/124/A/22/abstract.htm
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