Endoscopic versus stereotactic biopsies of intracranial lesions involving the ventricles
- PDF / 269,488 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 102 Downloads / 218 Views
ORIGINAL ARTICLE
Endoscopic versus stereotactic biopsies of intracranial lesions involving the ventricles Marcin Birski 1 & Jacek Furtak 1 & Kamil Krystkiewicz 1 & Julita Birska 1 & Karolina Zielinska 1 & Paweł Sokal 2 & Marcin Rusinek 2 & Dariusz Paczkowski 2 & Lukasz Szylberg 3,4,5 & Marek Harat 1 Received: 30 March 2020 / Revised: 8 August 2020 / Accepted: 17 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Stereotactic biopsies of ventricular lesions may be less safe and less accurate than biopsies of superficial lesions. Accordingly, endoscopic biopsies have been increasingly used for these lesions. Except for pineal tumors, the literature lacks clear, reliable comparisons of these two methods. All 1581 adults undergoing brain tumor biopsy from 2007 to 2018 were retrospectively assessed. We selected 119 patients with intraventricular or paraventricular lesions considered suitable for both stereotactic and endoscopic biopsies. A total of 85 stereotactic and 38 endoscopic biopsies were performed. Extra procedures, including endoscopic third ventriculostomy and tumor cyst aspiration, were performed simultaneously in 5 stereotactic and 35 endoscopic cases. In 9 cases (5 stereotactic, 4 endoscopic), the biopsies were nondiagnostic (samples were nondiagnostic or the results differed from those obtained from the resected lesions). Three people died: 2 (1 stereotactic, 1 endoscopic) from delayed intraventricular bleeding and 1 (stereotactic) from brain edema. No permanent morbidity occurred. In 6 cases (all stereotactic), additional surgery was required for hydrocephalus within the first month postbiopsy. Rates of nondiagnostic biopsies, serious complications, and additional operations were not significantly different between groups. Mortality was higher after biopsy of lesions involving the ventricles, compared with intracranial lesions in any location (2.4% vs 0.3%, p = 0.016). Rates of nondiagnostic biopsies and complications were similar after endoscopic or stereotactic biopsies. Ventricular area biopsies were associated with higher mortality than biopsies in any brain area. Keywords Biopsy . Brain tumors . Hydrocephalus . Neuroendoscopy . Stereotactic techniques
Introduction Biopsies of brain tumors involving the ventricular system require careful planning. Tissue samples from this area can be * Marcin Birski [email protected] 1
Neurosurgery Department, 10th Military Research Hospital, ul. Powstancow Warszawy 5, 85-681 Bydgoszcz, Poland
2
Department of Neurosurgery and Neurology, Jan Biziel University Hospital Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland
3
Department of Clinical Pathomorphology, Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland
4
Department of Tumor Pathology and Pathomorphology, Oncology Center, Bydgoszcz, Poland
5
Department of Pathomorphology, 10th Military Research Hospital, Bydgoszcz, Poland
obtained using stereotactic or endoscopic methods. With stereotactic biopsies, the long trajectory and potential nee
Data Loading...
