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Correlation of clinical and pathological features in surgically treated craniopharyngiomas
Abstract
✓ Surgical specimens of 104 craniopharyngiomas from 93 patients were reviewed and characterized histopathologically. They were found to have either a classic adamantinous or a squamous papillary structure. The clinical features of each group were then assessed. The frequently solid (50%), always uncalcified squamous papillary tumor type was found in one-third of the adult patients (≥ 20 years) but did not occur in children. It was associated with a good functional postoperative outcome (84.6%). There have been no cases of tumor recurrence in the squamous papillary group. However, in the group with the adamantinous type of craniopharyngioma, the recurrence rate was 13% in adult patients and 9% in children. When compared to the adult adamantinous cases, the incidence of visual deficits was lower in the squamous papillary group (75% vs. 84%) but the incidence of endocrine abnormalities was higher (75% vs. 52%). Thus, the preoperative, operative, and postoperative features of the two types of craniopharyngioma were found to be distinctly different in adults and children.
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Cited by
Surgical treatment of craniopharyngiomas: experience with 168 patients
Fahlbusch, R., Honegger, J., Paulus, W., Huk, W., & Buchfelder, M. (1999) · Journal of Neurosurgery · doi:10.3171/jns.1999.90.2.0237 · Cited by 759
Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up
Karavitaki, N., Brufani, C., Warner, J. T., Adams, C. B. T., Richards, P., Ansorge, O., Shine, B., Turner, H. E., & Wass, J. A. H. (2005) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2005.02231.x · Cited by 633
Karavitaki, N., Cudlip, S., Adams, C. B. T., & Wass, J. A. H. (2006) · Endocrine Reviews · doi:10.1210/er.2006-0002 · Cited by 514
Mortality in Patients with Pituitary Disease
Sherlock, M., Ayuk, J., Tomlinson, J. W., Toogood, A. A., Aragon-Alonso, A., Sheppard, M. C., Bates, A. S., & Stewart, P. M. (2010) · Endocrine Reviews · doi:10.1210/er.2009-0033 · Cited by 392
Metadata
- Authors
- Adamson, T. E., Wiestler, O. D., Kleihues, P., & Yaşargil, M. G.
- Venue
- Journal of Neurosurgery
- Published
- 1990-07
- Volume
- 73
- Issue
- 1
- Pages
- 12-17
- ISSN
- 0022-3085 (ISSN-L)
- OpenAlex
- W1972207253
- Cited by
- 297
- References
- 0
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- closed
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- Adamson, T. E., Wiestler, O. D., Kleihues, P., & Yaşargil, M. G. (1990). Correlation of clinical and pathological features in surgically treated craniopharyngiomas. Journal of Neurosurgery. https://doi.org/10.3171/jns.1990.73.1.0012
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