Extent of resection of epidermoid tumors and risk of recurrence: case report and meta-analysis.

CONCLUSIONS: STR is associated with a significantly higher rate of epidermoid tumor recurrence compared to GTR. Attempts at GTR should be made during the initial surgery with efforts to optimize success. Surgical expertise, as well as the use of adjuncts, such as intraoperative MRI and neuromonitoring, may increase the likelihood of completing a safe GTR and decreasing the long-term risk of recurrence. The most common surgical complications were transient cranial nerve palsies, occurring equally in STR and GTR cases when reported. In all postoperative epidermoid tumor cases, but particularly following STR, close follow-up with serial MRI, even years after surgery, is recommended. PMID: 31277071 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/31277071?dopt=Abstract

Source: Journal of Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Shear BM, Jin L, Zhang Y, David WB, Fomchenko EI, Erson-Omay EZ, Huttner A, Fulbright RK, Moliterno J Tags: J Neurosurg Source Type: research