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Acta Neurochirurgica

Published in:

01-02-2010 | Case Report

Cystic craniopharyngioma: trans-sphenoidal surgery and intra-cystic apposition of “bleomycin wax”

Authors: Mario Francesco Fraioli, Laura Moschettoni, Elisabetta Catena, Chiara Fraioli

Published in: Acta Neurochirurgica | Issue 2/2010

Summary

Background

The current therapeutic approach to craniopharyngioma is multidisciplinary. Sub-total removal, followed by adjuvant treatments, especially in large cystic tumours, is an accepted regime reported by many authors.

Case report

A young patient with an intra- and suprasellar cystic craniopharyngioma was operated on via a microsurgical trans-sphenoidal approach, achieving sub-total removal and bleomycin mixed with bone wax (“bleomycin wax”) applied to the capsular remnant.

Results

Pre-operative neurological and endocrinological deficit improved after surgery. There was no evidence of tumour recurrence after a follow-up period of 5.4 years.

Conclusions

The intra-operative use of “bleomycin-wax” should be limited to those patients in whom intra-operative CSF fistula does not occur.

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Title: Cystic craniopharyngioma: trans-sphenoidal surgery and intra-cystic apposition of “bleomycin wax”
Authors: Mario Francesco Fraioli
Laura Moschettoni
Elisabetta Catena
Chiara Fraioli
Publication date: 01-02-2010
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 2/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0320-7

At a glance: The STEP trials

Springer Medicine

Cystic craniopharyngioma: trans-sphenoidal surgery and intra-cystic apposition of “bleomycin wax”

Summary

Background

Case report

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Summary

Background

Case report

Results

Conclusions

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