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Surgical management of intraventricular central neurocytoma: 92 cases

  • Clinical Article
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Abstract

Objective

To analyse the clinical characteristics of intraventricular central neurocytomas and gain a better understanding of the surgical management and treatment strategies.

Methods

A total of 92 cases of intraventricular central neurocytomas with initial treatment using surgical resection were studied retrospectively.

Results

Among 48 male and 44 female patients, 65 underwent gross total resection and 27 underwent subtotal resection. Transcortical or transcallosal approaches were performed, and there was no significant difference between the two approaches in terms of effects and complications. Tumours with calcification or adhesion had a significant lower gross total resection rate. Three patients died after surgery. During follow-up, 55 patients underwent postoperative radiotherapy and four patients had a recurrence of the tumour.

Conclusion

Central neurocytomas mostly occur in the lateral ventricle system near the foramen of Monro. Therefore, total resection is the best treatment. Two surgical approaches are possible as treatment. Calcifications or adhesions affect the gross total resection of the tumour. Radiation therapy or radiosurgery therapy can be chosen as a salvage treatment in case of recurrence.

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Authors and Affiliations

  1. Department of Neurosurgery, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China

    Haipeng Qian

  2. Department of Neurosurgery, Beijing Tiantan Hospital affiliated to Capital Medical University, Beijing, China

    Song Lin, Maozhi Zhang & Yong Cao

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  1. Haipeng Qian
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Correspondence to Song Lin.

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Qian, H., Lin, S., Zhang, M. et al. Surgical management of intraventricular central neurocytoma: 92 cases. Acta Neurochir 154, 1951–1960 (2012). https://doi.org/10.1007/s00701-012-1446-6

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  • DOI: https://doi.org/10.1007/s00701-012-1446-6

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