SlideShare una empresa de Scribd logo
1 de 79
Continuous Medical Education Department of Neurosurgery, HKL 8 November 2006 Literature Review  of Management  of Pineal Region Tumour
OVERVIEW ,[object Object],[object Object]
OVERVIEW ,[object Object],[object Object],[object Object],[object Object]
OVERVIEW ,[object Object],[object Object],[object Object]
Revolution in Pineal Surgery ,[object Object],[object Object]
Revolution in Pineal Surgery ,[object Object],[object Object],[object Object]
Revolution in Pineal Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
Revolution in Pineal Surgery ,[object Object],[object Object],[object Object]
Pineal Tumour – Initial Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indication for Surgery ,[object Object],[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object]
Lab Studies ,[object Object],[object Object],[object Object]
Intracranial Germ Cell Tumors Roger J. Packer, Bruce H. Cohen and Kathleen Cooney Oncologist  2000;5;312-320 ,[object Object],[object Object],[object Object],[object Object]
Imaging Studies   ,[object Object],[object Object],[object Object],[object Object]
Imaging Studies   ,[object Object],[object Object],[object Object]
Imaging Studies   ,[object Object],[object Object],[object Object]
Imaging Studies ,[object Object],[object Object]
Imaging Studies ,[object Object],[object Object],[object Object]
Imaging Studies ,[object Object],[object Object],[object Object],[object Object]
Intracranial Germ Cell Tumors Roger J. Packer, Bruce H. Cohen and Kathleen Cooney Oncologist  2000;5;312-320 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging Studies ,[object Object],[object Object]
Histologic Findings   ,[object Object],[object Object],[object Object]
Histologic Findings ,[object Object],[object Object],[object Object],[object Object]
Histologic Findings ,[object Object],[object Object],[object Object]
Histologic Findings ,[object Object],[object Object],[object Object]
Histologic Findings   ,[object Object],[object Object],[object Object]
Staging   ,[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy   ,[object Object],[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy ,[object Object],[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy ,[object Object],[object Object],[object Object],[object Object]
Intracranial Germ Cell Tumors Roger J. Packer, Bruce H. Cohen and Kathleen Cooney Oncologist  2000;5;312-320 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy ,[object Object],[object Object],[object Object],[object Object]
Medical therapy: Radiation therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy: Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical therapy: Chemotherapy ,[object Object],[object Object]
Medical therapy: Chemotherapy ,[object Object],[object Object]
Radiosurgery   ,[object Object],[object Object],[object Object],[object Object]
Reyns, N., M. Hayashi, et al. (2006). The role of Gamma Knife radiosurgery in the treatment of pineal parenchymal tumours.  Acta Neurochir (Wien) .  148:  5-11; discussion 11. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hasegawa, T., D. Kondziolka, et al. (2002). "The role of radiosurgery for the treatment of pineal parenchymal tumors."  Neurosurgery   51 (4): 880-9. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radiosurgery ,[object Object],[object Object],[object Object]
Surgical therapy   ,[object Object],[object Object]
Jeffrey N. Bruce, Alfred T. Ogden, Surgical Strategies for Treating Patients with Pineal Region Tumors, J Neurooncol, 69(1):221-236, Aug-Sept 2004   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Jeffrey N. Bruce, Alfred T. Ogden, Surgical Strategies for Treating Patients with Pineal Region Tumors, J Neurooncol, 69(1):221-236, Aug-Sept 2004   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stereotactic biopsy   ,[object Object],[object Object],[object Object]
Stereotactic biopsy ,[object Object],[object Object]
(Reyns, Hayashi et al. 2006)Pineal region tumors and the role of stereotactic biopsy: review of the mortality, morbidity, and diagnostic rates in 370 cases.[Neurosurgery. 1998]   ,[object Object],[object Object],[object Object],[object Object]
Popovic  EA ,  Kelly PJ .,  Stereotactic procedures for lesions of the pineal region.  , Mayo Clin Proc. 1993 Oct;68(10):965-70   ,[object Object],[object Object],[object Object],[object Object]
KRETH F. W.; SCHÄTZ C. R., Stereotactic management of lesions of the pineal region, Neurosurgery,1996, vol. 39, no2, pp. 280-291 (53 ref.)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open resection   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mahmoud H. Ragab, M.D., Mark G. Luciano, M.D., Ph.D.,  Pineal Region Tumors: Endoscopy versus Microsurgery  , Neurosurgery Online, Volume 53(2), August 2003, pp 520-521   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tissue Biopsy ,[object Object],[object Object],[object Object],[object Object]
Tissue Biopsy ,[object Object],[object Object]
Tissue Biopsy ,[object Object],[object Object],[object Object]
Regueiro, C. A. (2003). "[Treatment of intracranial germ cell tumours and other tumours of the pineal region]."  Neurocirugia (Astur)   14 (2): 127-39. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Regueiro, C. A. (2003). "[Treatment of intracranial germ cell tumours and other tumours of the pineal region]."  Neurocirugia (Astur)   14 (2): 127-39. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Konovalov, A. N. and D. I. Pitskhelauri (2003). "Principles of treatment of the pineal region tumors."  Surg Neurol   59 (4): 250-68. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Jaishri O. Blakeley, MD and Stuart A. Grossman, MD ,  Management of Pineal Region Tumors  ,  Current Treatment Options in Oncology  2006,  7 :505-516   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Jaishri O. Blakeley, MD and Stuart A. Grossman, MD ,  Management of Pineal Region Tumors  ,  Current Treatment Options in Oncology  2006,  7 :505-516   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nishioka, H., J. Haraoka, et al. (2006). "Management of intracranial germ cell tumors presenting with rapid deterioration of consciousness."  Minim Invasive Neurosurg   49 (2): 116-9. ,[object Object],[object Object],[object Object],[object Object]
Preoperative details   ,[object Object],[object Object]
Preoperative details ,[object Object],[object Object],[object Object],[object Object]
Preoperative details ,[object Object],[object Object],[object Object]
Cipri, S., A. Gangemi, et al. (2005). "Neuroendoscopic management of hydrocephalus secondary to midline and pineal lesions."  J Neurosurg Sci   49 (3): 97-106   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Yamini, B., D. Refai, et al. (2004). "Initial endoscopic management of pineal region tumors and associated hydrocephalus: clinical series and literature review."  J Neurosurg   100 (5 Suppl Pediatrics): 437-41. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative details   ,[object Object],[object Object]
Koziarski, A., E. Skrobowska, et al. (2003). "[Own experience in surgical treatment of the pineal region and midbrain tumors via the infratentorial approach]."  Neurol Neurochir Pol   37 (2): 473-84. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative details   ,[object Object],[object Object],[object Object],[object Object]
Postoperative details   ,[object Object],[object Object],[object Object],[object Object]
Follow-up care   ,[object Object],[object Object],[object Object]
The Management of Pineal Area Tumors: A Recent Reappraisal PAUL H. CHAPMAN, MD,* AND RITA M. LINGGOOD, MDt,  Cancer  46:1253-1257, 1980. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OUTCOME AND PROGNOSIS   ,[object Object],[object Object],[object Object],[object Object],[object Object]
OUTCOME AND PROGNOSIS   ,[object Object],[object Object]
Thank You

Más contenido relacionado

La actualidad más candente

Neck node with unknown primary dipalee
Neck node with unknown primary  dipaleeNeck node with unknown primary  dipalee
Neck node with unknown primary dipaleeDipalee Bagal
 
Neuroblastoma: a review
Neuroblastoma: a reviewNeuroblastoma: a review
Neuroblastoma: a reviewLyndon Woytuck
 
Management of rhabdomyosarcoma
Management of rhabdomyosarcomaManagement of rhabdomyosarcoma
Management of rhabdomyosarcomaDr Manas Dubey
 
Rhabdomyosarcoma radiotherapy indications and outcome
Rhabdomyosarcoma radiotherapy indications and outcomeRhabdomyosarcoma radiotherapy indications and outcome
Rhabdomyosarcoma radiotherapy indications and outcomeBitor Barrondo
 
Evolution of treatment strategies of brain tumors
Evolution of treatment strategies of brain tumorsEvolution of treatment strategies of brain tumors
Evolution of treatment strategies of brain tumorsAnil Gupta
 
Soft tissues sarcoma_surgery_dr.potentiano
Soft tissues sarcoma_surgery_dr.potentianoSoft tissues sarcoma_surgery_dr.potentiano
Soft tissues sarcoma_surgery_dr.potentianoMD Specialclass
 
Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Yan Vargas
 
Diagnostic approaches in cup(carcinoma of unknown primary
Diagnostic approaches in cup(carcinoma of unknown primaryDiagnostic approaches in cup(carcinoma of unknown primary
Diagnostic approaches in cup(carcinoma of unknown primaryKaushik Kumar Eswaran
 
Immunohistochemistry in breast lesions
Immunohistochemistry in breast lesionsImmunohistochemistry in breast lesions
Immunohistochemistry in breast lesionsAshish Jawarkar
 

La actualidad más candente (20)

Neck node with unknown primary dipalee
Neck node with unknown primary  dipaleeNeck node with unknown primary  dipalee
Neck node with unknown primary dipalee
 
Neuroblastoma presentation
Neuroblastoma presentationNeuroblastoma presentation
Neuroblastoma presentation
 
Rhabdomyosarcoma
RhabdomyosarcomaRhabdomyosarcoma
Rhabdomyosarcoma
 
Medulloblastoma
MedulloblastomaMedulloblastoma
Medulloblastoma
 
Neuroblastoma: a review
Neuroblastoma: a reviewNeuroblastoma: a review
Neuroblastoma: a review
 
Neuroblastoma
NeuroblastomaNeuroblastoma
Neuroblastoma
 
Rhabdomyosarcoma Of head and neck
Rhabdomyosarcoma Of head and neckRhabdomyosarcoma Of head and neck
Rhabdomyosarcoma Of head and neck
 
Management of rhabdomyosarcoma
Management of rhabdomyosarcomaManagement of rhabdomyosarcoma
Management of rhabdomyosarcoma
 
Rhabdomyosarcoma radiotherapy indications and outcome
Rhabdomyosarcoma radiotherapy indications and outcomeRhabdomyosarcoma radiotherapy indications and outcome
Rhabdomyosarcoma radiotherapy indications and outcome
 
Evolution of treatment strategies of brain tumors
Evolution of treatment strategies of brain tumorsEvolution of treatment strategies of brain tumors
Evolution of treatment strategies of brain tumors
 
Paediatric Ependymoma (p.o)
Paediatric Ependymoma (p.o)Paediatric Ependymoma (p.o)
Paediatric Ependymoma (p.o)
 
Neuroblastoma case scenarios for plan mangment
Neuroblastoma case scenarios for plan mangmentNeuroblastoma case scenarios for plan mangment
Neuroblastoma case scenarios for plan mangment
 
Neuroblastoma
NeuroblastomaNeuroblastoma
Neuroblastoma
 
Soft tissues sarcoma_surgery_dr.potentiano
Soft tissues sarcoma_surgery_dr.potentianoSoft tissues sarcoma_surgery_dr.potentiano
Soft tissues sarcoma_surgery_dr.potentiano
 
Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015
 
RHABDOMYOSARCOMA (MALIGNANT TUMOR)
RHABDOMYOSARCOMA (MALIGNANT TUMOR)RHABDOMYOSARCOMA (MALIGNANT TUMOR)
RHABDOMYOSARCOMA (MALIGNANT TUMOR)
 
Diagnostic approaches in cup(carcinoma of unknown primary
Diagnostic approaches in cup(carcinoma of unknown primaryDiagnostic approaches in cup(carcinoma of unknown primary
Diagnostic approaches in cup(carcinoma of unknown primary
 
D bourgeois premalignant lesion of the breast. what to do jfim hanoi 2015
D bourgeois premalignant lesion of the breast. what to do   jfim hanoi 2015D bourgeois premalignant lesion of the breast. what to do   jfim hanoi 2015
D bourgeois premalignant lesion of the breast. what to do jfim hanoi 2015
 
Immunohistochemistry in breast lesions
Immunohistochemistry in breast lesionsImmunohistochemistry in breast lesions
Immunohistochemistry in breast lesions
 
Medulloblastoma
MedulloblastomaMedulloblastoma
Medulloblastoma
 

Similar a Literature Review Of Management Of Pineal Region Tumour

Unusual Nonepithelial cancers of H&N
Unusual Nonepithelial cancers of H&NUnusual Nonepithelial cancers of H&N
Unusual Nonepithelial cancers of H&Nbernard_biro
 
Metastasis of Neck Node with Unknown Primary
Metastasis of Neck Node with Unknown Primary Metastasis of Neck Node with Unknown Primary
Metastasis of Neck Node with Unknown Primary Himanshu Soni
 
Molecular biology of oral cancer
Molecular biology of oral cancerMolecular biology of oral cancer
Molecular biology of oral cancerJamil Kifayatullah
 
Management of HCC, an update
Management of HCC, an updateManagement of HCC, an update
Management of HCC, an updateMohammed A Suwaid
 
Precocious puberty - Imaging
Precocious puberty - ImagingPrecocious puberty - Imaging
Precocious puberty - ImagingDr. Mohit Goel
 
Breast cancer managment
Breast cancer managmentBreast cancer managment
Breast cancer managmentsantosh yadav
 
Thyroid nodule ATA guideline 2016
Thyroid nodule ATA guideline 2016Thyroid nodule ATA guideline 2016
Thyroid nodule ATA guideline 2016Syed Mogni
 
Primary non gestational extra gonadal choriocarcinoma of the lung
Primary non gestational extra  gonadal choriocarcinoma of the lungPrimary non gestational extra  gonadal choriocarcinoma of the lung
Primary non gestational extra gonadal choriocarcinoma of the lungAR Muhamad Na'im
 
cancer papilar prezentare.pptx
cancer papilar prezentare.pptxcancer papilar prezentare.pptx
cancer papilar prezentare.pptxssuser311078
 
Testicular tumors-Cassification, Biomarkers and Staging by Dr Rajesh
Testicular tumors-Cassification, Biomarkers and Staging by Dr RajeshTesticular tumors-Cassification, Biomarkers and Staging by Dr Rajesh
Testicular tumors-Cassification, Biomarkers and Staging by Dr RajeshRajesh Sinwer
 
The Patient With Cancer
The Patient  With CancerThe Patient  With Cancer
The Patient With Cancerdrcsvenkatesh
 
Adrenal Mass in Pregnancy: Diagnostic Approach and Dilemmas
Adrenal Mass in Pregnancy: Diagnostic Approach and DilemmasAdrenal Mass in Pregnancy: Diagnostic Approach and Dilemmas
Adrenal Mass in Pregnancy: Diagnostic Approach and DilemmasApollo Hospitals
 

Similar a Literature Review Of Management Of Pineal Region Tumour (20)

Unusual Nonepithelial cancers of H&N
Unusual Nonepithelial cancers of H&NUnusual Nonepithelial cancers of H&N
Unusual Nonepithelial cancers of H&N
 
Metastasis of Neck Node with Unknown Primary
Metastasis of Neck Node with Unknown Primary Metastasis of Neck Node with Unknown Primary
Metastasis of Neck Node with Unknown Primary
 
Testicular tumor
Testicular tumorTesticular tumor
Testicular tumor
 
Molecular biology of oral cancer
Molecular biology of oral cancerMolecular biology of oral cancer
Molecular biology of oral cancer
 
Management of HCC, an update
Management of HCC, an updateManagement of HCC, an update
Management of HCC, an update
 
Metastasis of Prostatic Adenocarcinoma in a Lymph Node Affected by Hodgkin Ly...
Metastasis of Prostatic Adenocarcinoma in a Lymph Node Affected by Hodgkin Ly...Metastasis of Prostatic Adenocarcinoma in a Lymph Node Affected by Hodgkin Ly...
Metastasis of Prostatic Adenocarcinoma in a Lymph Node Affected by Hodgkin Ly...
 
low grade glioma.pptx
low grade glioma.pptxlow grade glioma.pptx
low grade glioma.pptx
 
Endometrium part 1 2018
Endometrium part 1 2018Endometrium part 1 2018
Endometrium part 1 2018
 
Precocious puberty - Imaging
Precocious puberty - ImagingPrecocious puberty - Imaging
Precocious puberty - Imaging
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Breast cancer managment
Breast cancer managmentBreast cancer managment
Breast cancer managment
 
Ampullary carcinoma
Ampullary carcinomaAmpullary carcinoma
Ampullary carcinoma
 
Thyroid nodule ATA guideline 2016
Thyroid nodule ATA guideline 2016Thyroid nodule ATA guideline 2016
Thyroid nodule ATA guideline 2016
 
Primary non gestational extra gonadal choriocarcinoma of the lung
Primary non gestational extra  gonadal choriocarcinoma of the lungPrimary non gestational extra  gonadal choriocarcinoma of the lung
Primary non gestational extra gonadal choriocarcinoma of the lung
 
cancer papilar prezentare.pptx
cancer papilar prezentare.pptxcancer papilar prezentare.pptx
cancer papilar prezentare.pptx
 
document.pptx
document.pptxdocument.pptx
document.pptx
 
Testicular tumors-Cassification, Biomarkers and Staging by Dr Rajesh
Testicular tumors-Cassification, Biomarkers and Staging by Dr RajeshTesticular tumors-Cassification, Biomarkers and Staging by Dr Rajesh
Testicular tumors-Cassification, Biomarkers and Staging by Dr Rajesh
 
The Patient With Cancer
The Patient  With CancerThe Patient  With Cancer
The Patient With Cancer
 
Seminoma eau
Seminoma eauSeminoma eau
Seminoma eau
 
Adrenal Mass in Pregnancy: Diagnostic Approach and Dilemmas
Adrenal Mass in Pregnancy: Diagnostic Approach and DilemmasAdrenal Mass in Pregnancy: Diagnostic Approach and Dilemmas
Adrenal Mass in Pregnancy: Diagnostic Approach and Dilemmas
 

Literature Review Of Management Of Pineal Region Tumour

  • 1. Continuous Medical Education Department of Neurosurgery, HKL 8 November 2006 Literature Review of Management of Pineal Region Tumour
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.