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Craniopharyngioma

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Abstract

Craniopharyngiomas are benign tumors of the parasellar region. These tumors may be cystic, solid, or combinations of the two. They have a bimodal age distribution and no apparent gender predilection. Patients may present with endocrinopathy or symptoms related to mass effect from the growing tumor. Patients require a multidisciplinary approach during their diagnostic evaluation and subsequent to initiating therapy. Endocrinopathy should be recognized and treated with appropriate hormonal replacement. Surgery is the first-line therapy for most paients. The specific surgical approach must be tailored to the specific clinical situation and depends on the patient age, endocrine status, and the geometry and consistency of the tumor. Whereas most solid tumors will require craniotomy or transsphenoidal surgery, some cystic tumors may be adequately managed with intracavitary therapies. Subtotally resected or residual tumors often require adjuvant radiation therapy or radiosugery. Long-term multidisciplinary follow-up is necessary for all patients.

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References

  1. Bunin GR, Surawicz TS, Witman PA, Preston-Martin S, Davis F, Bruner JM (1998) The descriptive epidemiology of craniopharyngioma. J Neurosurg 89:547–551

    PubMed  CAS  Google Scholar 

  2. Chakrabarti I, Amar AP, Couldwell W, Weiss MH (2005) Long-term neurological, visual, and endocrine outcomes following transnasal resection of craniopharyngioma. J Neurosurg 102(4):650–657

    PubMed  Google Scholar 

  3. Duff JM, Meyer FB, Ilstrup DM, Laws ER Jr, Scleck CD, Scheithauer BW (2000) Long-term outcomes for surgically resected craniopharyngiomas. Neurosurg 46(2):291–305

    Article  Google Scholar 

  4. Fahlbusch R, Honegger J, Paulus W, Huk W, Buchfelder M (1999) Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg 90(2):237–250

    PubMed  CAS  Google Scholar 

  5. Hasegawa T, Kondziolka D, Hadjipanayis CG, Lunsford LD (2004) Management of cystic craniopharyngiomas with phosphorus-32 intracavitary irradiation. Neurosurgery 54(4):813–820; discussion 820–822

    Article  PubMed  Google Scholar 

  6. Hoffman HJ, de Silva M, Humphreys RP, Drake JM, Smith ML, Blaser SI (1992) Aggressive surgical management of craniopharyngiomas in children. J Neurosurg 76(1):47–52

    Article  PubMed  CAS  Google Scholar 

  7. Honegger J, Buchfelder M, Fahlbusch R (1999) Surgical treatment of craniopharyngiomas: endocrinological results. J Neurosurg 90:251–257

    PubMed  CAS  Google Scholar 

  8. Karavitaki N, Brufani C, Warner JT, Adams CBT, Richards P, Ansorge O, Shine B, Turner HE, Wass JAH (2005) Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up. Clin Endo 62:397–409

    Article  CAS  Google Scholar 

  9. Kobayashi T, Kida Y, Mori Y, Hasegawa T (2005) Long-term results of gamma knife surgery for the treatment of craniopharyngioma in 98 consecutive cases. J Neurosurg 103(6 Suppl):482–488

    PubMed  Google Scholar 

  10. Laws ER Jr (1980) Transsphenoidal microsurgery in the management of craniopharyngioma. J Neurosurg 52(5):661–666

    PubMed  Google Scholar 

  11. Laws ER Jr (1994) Transsphenoidal removal of craniopharyngioma. Pediatric Neurosurg 21(Suppl 1):57–63

    Google Scholar 

  12. Laws ER, Thapar K (2002) Craniopharyngiomas in children and adults. In: Batjer H. H, Loftus CM (eds), Textbook of neurosurgical surgery, 1st edn. Lippincott Williams & Wilkins, Philadelphia pp 1400–1405

    Google Scholar 

  13. Maira G, Anile C, Rossi GF, Colosimo C (1995) Surgical treatment of craniopharyngiomas: an evaluation of the transsphenoidal and pterional approaches. Neurosurg 36:715–724

    CAS  Google Scholar 

  14. Merchant TE (2006) Craniopharyngioma radiotherapy: endocrine and cognitive effects. J Pediatric Endocrinol 19(Suppl 1): 439–446

    Google Scholar 

  15. Oskouian RJ, Samii A, Laws ER Jr (2006) The craniopharyngioma. Frontiers Hormone Res 34:105–126

    Google Scholar 

  16. Ozata M, Tayfun C, Kurtaran K, et al (1997) Magnetic resonance imaging of posterior pituitary for evaluation of the neurohypophyseal function in idiopathic and autosomal dominant neurohypophyseal diabetes insipidus. Eur Radiol 7: 1098–1102

    Article  PubMed  CAS  Google Scholar 

  17. Pierre-Kahn A, Recassens C, Pinto G, Thalassinos C, Chokron S, Soubervielle JC, Brauner R, Zerah M, Sainte Rose C (2005) Social and psycho-intellectual outcome following radical removal of craniopharyngiomas in childhood. A prospective series. Childs Nerv Sys 21(8–9):817–824

    CAS  Google Scholar 

  18. Raimondi AJ, Rougerie J (1994) A critical review of personal experiences with craniopharyngioma: clinical history, surgical technique and operative results. 1983. Pediatric Neurosurg 21(2):134–150; discussion 151–154

    Article  CAS  Google Scholar 

  19. Robertson GL (1995) Diabetes insipidus. Endocrinol Metab Clin North Am 24:549–572

    PubMed  CAS  Google Scholar 

  20. Robinson AG, Verbalis JG (2003) The posterior pituitary. In: Larsen PR, Kronenberg HM, Melmed S, Polonsky KS (eds), Williams textbook of endocrinology, 10th edn. WB Saunders, Philadelphia pp 281–330

    Google Scholar 

  21. Stripp DC, Maity A, Janss AJ, Belasco JB, Tochner AZ, Goldwein JW, Moshang T, Rorke LB, Phillips PC, Sutton LN, Shu HKG (2004) Surgery with or without radiation therapy in the management of craniopharyngiomas in children and young adjust. Int J Rad Oncol Biol Phys 28:714–720

    Article  Google Scholar 

  22. Tomita T, Bowman RM (2005) Craniopharyngiomas in children: surgical experience at Children’s Memorial Hospital. Childs Nerv Sys 21(8–9):729–746

    Google Scholar 

  23. Van Effenterre R, Boch AL (2002) Craniopharyngioma in adults and children. J Neurosurg 97:3–11

    Article  PubMed  Google Scholar 

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Correspondence to Edward R. Laws.

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Jane, J.A., Laws, E.R. Craniopharyngioma. Pituitary 9, 323–326 (2006). https://doi.org/10.1007/s11102-006-0413-8

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