Endoscopic-assisted identification of residual tumor after apparent gross-total resection of giant intracranial epidermoids

Carlito Lagman; Hiren Patel; Timothy T. Bui; Seung J. Lee; Ian J. Brown; Daniel T. Nagasawa; Isaac Yang; Alan R. Turtz

Interdisciplinary Neurosurgery (Sep 2017)

Endoscopic-assisted identification of residual tumor after apparent gross-total resection of giant intracranial epidermoids

Carlito Lagman,
Hiren Patel,
Timothy T. Bui,
Seung J. Lee,
Ian J. Brown,
Daniel T. Nagasawa,
Isaac Yang,
Alan R. Turtz

Affiliations

Carlito Lagman: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Los Angeles, CA 90095, United States; Corresponding author at: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Ste. 554B, 5th Floor Wasserman Bldg., Los Angeles, CA 90095-6901, United States.
Hiren Patel: Department of Neurosurgery, Cooper University Hospital, Three Cooper Plaza, Camden, NJ 08103, United States
Timothy T. Bui: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Los Angeles, CA 90095, United States
Seung J. Lee: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Los Angeles, CA 90095, United States
Ian J. Brown: Department of Neurosurgery, Cooper University Hospital, Three Cooper Plaza, Camden, NJ 08103, United States
Daniel T. Nagasawa: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Los Angeles, CA 90095, United States
Isaac Yang: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Los Angeles, CA 90095, United States; Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA 90024, United States
Alan R. Turtz: Department of Neurosurgery, Cooper University Hospital, Three Cooper Plaza, Camden, NJ 08103, United States

Journal volume & issue: Vol. 9
pp. 4 – 7

Abstract

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Giant intracranial epidermoids (giant IEs) often extend into multiple compartments within the cranial vault and if tumor fragments are left behind during resection, recurrence is inevitable. The endoscope can be used to identify residual epidermoid and help achieve safe, maximal resection. We present two patients with giant IEs who underwent resections. The endoscope was used in final measure to survey the surgical beds. Residual tumors were identified in both cases, and further resections were performed. This report highlights the importance of an endoscopic survey after apparent gross-total resection of giant IEs. Keywords: Brain tumor, Recurrent endoscopy, Epidermoid cyst, Posterior fossa tumors

Published in Interdisciplinary Neurosurgery

ISSN: 2214-7519 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: http://www.journals.elsevier.com/interdisciplinary-neurosurgery/

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