Combined Transcranial and Endoscopic Endonasal Approach for Resecting a Giant Intracranial and Extracranial Communicating Meningioma:A Case Report  

作　　者：Ye GU Kai XUE Quan LIU Huankang ZHANG Hongmeng YU 

机构地区：[1]Department of Neurosurgery,Eye&ENT Hospital,Fudan University,Shanghai,China [2]Department of Otolaryngology,Eye&ENT Hospital,Fudan University,Shanghai,China [3]Shanghai Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention,Fudan University,Shanghai,China [4]Research Units of New Technologies of Endoscopic Surgery in Skull Base Tumor,Chinese Academy of Medical Sciences,Shanghai,China

出　　处：《Clinical Cancer Bulletin》2022年第3期167-171,共5页临床癌症通报（英文）

摘　　要：Objective Although intracranial and extracranial communicating meningiomas are uncommon in clinical settings,they pose a considerable challenge for surgeons.Thus,one-stage surgery should be more comprehensively explained as it is not frequently reported as a first-line treatment.Case report A 27-year-old man with a massive intracranial and extracranial communicating meningioma was admitted with nasal congestion and mild numbness on the left side of his face.A combined transcranial and endoscopic endonasal approach was performed in a single day aided by preoperative tumor embolization.The tumor was nearly completely removed without any serious complications.Follow-up revealed the disappearance of diplopia,with the patient having a normal life.Furthermore,no tumor progression was noted.Conclusion The combined transcranial and endoscopic endonasal approach is feasible for removing certain massive intracranial and extracranial communicating tumors.Hybrid techniques,such as embolization,microscopic,and endoscopic manipulation,are indispensable tools for treating such cases.

关 键 词：MENINGIOMA transcranial approach endoscopic endonasal approach 

分 类 号：R739.41[医药卫生—肿瘤]