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Experience of trans-nasal endoscopic surgery for pituitary tumors in a single center in China: Surgical results in a cohort of 2032 patients, operated between 2006 and 2018

Li, Chuzhong ; Zhu, Haibo ; Zong, Xuyi ; [et al.]

Elsevier BV ; 2020

In: Clinical Neurology and Neurosurgery Vol. 197 ( 2020-10), p. 106176-

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In: Clinical Neurology and Neurosurgery, Elsevier BV, Vol. 197 ( 2020-10), p. 106176-

Type of Medium: Online Resource

ISSN: 0303-8467

URL: Article

DOI: 10.1016/j.clineuro.2020.106176

Language: English

Publisher: Elsevier BV

Publication Date: 2020

detail.hit.zdb_id: 2004613-3

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The clinical features, recurrence risks and surgical strategies of bone invasive pituitary adenomas

Zhu, Haibo ; Li, Bin ; Li, Chuzhong ; [et al.]

Elsevier BV ; 2021

In: Clinical Neurology and Neurosurgery Vol. 201 ( 2021-02), p. 106455-

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In: Clinical Neurology and Neurosurgery, Elsevier BV, Vol. 201 ( 2021-02), p. 106455-

Type of Medium: Online Resource

ISSN: 0303-8467

URL: Article

DOI: 10.1016/j.clineuro.2020.106455

Language: English

Publisher: Elsevier BV

Publication Date: 2021

detail.hit.zdb_id: 2004613-3

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3

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Experience of Endoscopic Endonasal Approach for 803 Pituitary Tumors With Cavernous Sinus Invasion

Zhu, Haibo ; Li, Chuzhong ; Gui, Songbai ; [et al.]

Ovid Technologies (Wolters Kluwer Health) ; 2022

In: Journal of Craniofacial Surgery Vol. 33, No. 2 ( 2022-03), p. e118-e122

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In: Journal of Craniofacial Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 33, No. 2 ( 2022-03), p. e118-e122

Abstract: The aim of this study was to investigate the effectiveness, safety, complications, and prognosis of endoscopic endonasal surgery for pituitary adenomas with cavernous sinus invasion (CSI). Methods: The clinical data of 803 pituitary adenomas with CSI surgeries performed in our single ward between January 1, 2006 and December 31, 2018 were retrospectively reviewed. The resection degree, bone invasion, endocrine examination, complications, and outcome were retrospectively summarized. Results: Gross total resection was achieved in 394 patients (49.1%) subtotal resection in 171 patients (21.3%) and partial resection in 238 patients (29.6%). Clinically variable analyses showed that there was a significant correlation between CSI and female, older age, operation history, and non-gross total resection (NGTR). Among the pituitary adenomas with CSI, there was a significant correlation between bone invasive and NGTR, Knosp classification, recurrence. K-M curves showed that young age, larger tumors, bilateral invasion, Grade 4 of Knosp classification, NGTR, and bone invasion were associated with pituitary adenomas regrowth. Multivariate analysis revealed that bone invasion, NGTR, and Grade 4 of Knosp classification were independent risk factors for pituitary adenomas regrowth. There was a significant correlation between CSI and female, older age, operation history, and tumor resection degree. Conclusions: There was a significant correlation between CSI and female, older age, operation history, and tumor resection degree. The patients with CSI and bone invasion were likely to recurrent. Non-gross total resection, bone invasion, and Grade 4 of Knosp classification were independent risk factors for pituitary adenomas regrowth. Endoscopic endonasal surgery is an excellent choice for pituitary adenomas with CSI.

Type of Medium: Online Resource

ISSN: 1049-2275 , 1536-3732

URL: Article

DOI: 10.1097/SCS.0000000000008049

Language: English

Publisher: Ovid Technologies (Wolters Kluwer Health)

Publication Date: 2022

detail.hit.zdb_id: 2060546-8

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4

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Combined Endoscopic and Exoscopic Resection of Intracranial Epidermoid Cysts

Li, Zhenye ; Gui, Songbai ; Zhao, Peng ; [et al.]

Elsevier BV ; 2022

In: World Neurosurgery Vol. 168 ( 2022-12), p. e28-e33

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In: World Neurosurgery, Elsevier BV, Vol. 168 ( 2022-12), p. e28-e33

Type of Medium: Online Resource

ISSN: 1878-8750

URL: Article

DOI: 10.1016/j.wneu.2022.08.111

Language: English

Publisher: Elsevier BV

Publication Date: 2022

detail.hit.zdb_id: 2530041-6

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5

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Endoscopic Endonasal Surgical Strategy for Skull Base Chordomas Based on Tumor Growth Directions: Surgical Outcomes of 167 Patients During 3 Years

Bai, Jiwei ; Li, Mingxuan ; Xiong, Yujia ; [et al.]

Frontiers Media SA ; 2021

In: Frontiers in Oncology Vol. 11 ( 2021-9-22)

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In: Frontiers in Oncology, Frontiers Media SA, Vol. 11 ( 2021-9-22)

Abstract: Skull base chordomas (SBCs) are rare malignant bone tumors with dismal long-term local control. Endoscopic endonasal surgeries (EESs) are increasingly adopted to resect SBCs recently. Gross total resection (GTR) favors good outcomes. However, the SBCs often invade the skull base extensively and hide behind vital neurovascular structures; the tumors were challenging to remove entirely. To improve the GTR, we established a surgical strategy for EES according to the tumor growth directions. Methods A total of 112 patients with SBCs from 2018 to 2019 were classified into the derivation group. We retrospectively analyzed their radiologic images and operation videos to find the accurate tumor locations. By doing so, we confirmed the tumor growth directions and established a surgical strategy. Fifty-five patients who were operated on in 2020 were regarded as the validation group, and we performed their operations following the surgical strategy to verify its value. Results In the derivation group, 78.6% of SBCs invade the dorsum sellae and posterior clinoid process region. 62.5% and 69.6% of tumors extend to the left and right posterior spaces of cavernous ICA, respectively. 59.8% and 61.6% of tumors extend to the left and right posterior spaces of paraclival and lacerum ICA (pc-la ICA), respectively. 30.4% and 28.6% of tumors extended along the left and right petroclival fissures that extend toward the jugular foramen, respectively. 30.4% of tumors involved the foramen magnum and craniocervical junction region. The GTR was achieved in 60.8% of patients with primary SBCs in the derivation group. Based on the tumors’ growth pattern, pituitary transposition and posterior clinoidectomy techniques were adopted to resect tumors that hid behind cavernous ICA. Paraclival ICA transposition was used when the tumor invaded the posterior spaces of pc-la ICA. Lacerum fibrocartilage resection and eustachian tube transposition may be warranted to resect the tumors that extended to the jugular foramen. GTR was achieved in 75.0% of patients with primary SBCs in the validation group. Conclusion Besides the midline clival region, the SBCs frequently grow into the eight spaces mentioned above. The surgical strategy based on the growth pattern contributes to increasing the GTR rate.

Type of Medium: Online Resource

ISSN: 2234-943X

URL: Article

DOI: 10.3389/fonc.2021.724972

Language: Unknown

Publisher: Frontiers Media SA

Publication Date: 2021

detail.hit.zdb_id: 2649216-7

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6

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Application of endoscopic endonasal approach in skull base surgeries: summary of 1886 cases in a single center for 10 consecutive years

Li, Chuzhong ; Zhu, Haibo ; Zong, Xuyi ; [et al.]

Springer Science and Business Media LLC ; 2020

In: Chinese Neurosurgical Journal Vol. 6, No. 1 ( 2020-12)

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In: Chinese Neurosurgical Journal, Springer Science and Business Media LLC, Vol. 6, No. 1 ( 2020-12)

Abstract: Endonasal endoscopic skull base surgery has undergone rapid technological developments and is now widely performed, but its strengths and weaknesses deserve further investigation and deliberation. This study was performed to investigate the surgical indications, complications, and technical advantages and disadvantages of endonasal endoscopic skull base surgery. Methods The clinical data of 1886 endoscopic endonasal skull base surgeries performed in our ward at Beijing Tiantan Hospital from June 2006 to June 2016 were retrospectively analyzed. Results One thousand ninety-three (73.4%, 1490) pituitary adenomas, 54 (24.9%, 217) chordomas, 28 (80.0%, 35) craniopharyngiomas, and 15 (83.3%, 18) meningiomas underwent total resection. Two patients died postoperatively, both having pituitary adenomas. Other postoperative complications included olfactory disorders ( n = 226, 11.9%), postoperative cerebrospinal fluid leakage ( n = 78, 4.1%), hypopituitarism ( n = 74, 3.9%), diabetes insipidus ( n = 64, 3.4%), intracranial infection ( n = 36, 1.9%), epistaxis ( n = 24, 1.3%), vascular injury ( n = 8, 0.4%), optic nerve injury ( n = 8, 0.4%), and oculomotor movement impairment ( n = 4, 0.2%). In total, 1517 (80.4%) patients were followed up for 6 to 126 months (average, 42.5 months) postoperatively. A total of 196 (13.2%) pituitary adenomas and 13 (37.1%) craniopharyngiomas recurred but no meningiomas recurred. Chordomas recurred in 97 (44.7%) patients, in whom 5-year survival rate was 65%. Conclusion Endoscopic surgery is an innovative surgical technique and the first choice for most midline extradural lesions such as chordomas, and an excellent choice for pituitary adenomas. It probably will be a good technique for many kinds of craniopharyngiomas and a common technique for most of skull base meningiomas, so the surgical indications of these cases should be chosen carefully to make good use of its respective advantages.

Type of Medium: Online Resource

ISSN: 2057-4967

URL: Article

DOI: 10.1186/s41016-020-00199-w

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2020

detail.hit.zdb_id: 2836334-6

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7

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Jin, Lu ; Cai, Kefan ; Wu, WenTao ; [et al.]

Frontiers Media SA ; 2023

In: Frontiers in Endocrinology Vol. 14 ( 2023-10-3)

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In: Frontiers in Endocrinology, Frontiers Media SA, Vol. 14 ( 2023-10-3)

Abstract: To investigate the clinical and pathological factors associated with preoperative hypothalamus invasion and postoperative outcomes of adamantinomatous craniopharyngiomas (ACPs) after the expanded endonasal approach (EEA) resection. Methods Ninety-three specimens of ACPs, consisting of 71 primary and 22 recurrent tumors, were investigated for the expression of TGF-β1, SMAD2, SMAD3, and β-catenin by immunohistochemistry staining. The clinical information of relevant patients, including the extent of resection, hypothalamus invasion, endocrinopathy, complications, and prognosis, was reviewed. The relationships between the expression of these immunopathological markers and clinical factors were analyzed. Results Endocrinological dysfunctions were more common in recurrent patients and primary patients with hypothalamus invasion in the comparisons. For recurrent patients, the rate of gross total resection (GTR) was significantly lower than for primary patients (63.6% vs. 90.1%, P = 0.007). According to radiological and intraoperative findings, invasive ACPs (IACPs) included 48 (67.6%) cases in primary tumors. The expression of TGF-β1 and β-catenin was significantly higher in recurrent tumors ( P = 0.021 and P = 0.018, respectively) and IACPs ( P = 0.008 and P = 0.004, respectively). The expression level of TGF-β1 was associated with hypothalamus involvement (Puget grade, P = 0.05; Vile grade, P = 0.002), postoperative endocrinopathy ( P = 0.01), and pituitary stalk preservation ( P = 0.008) in primary patients. In addition, the extent of resection, treatment history, hypothalamic invasion, and level of TGF-β1 expression had significant influences on tumor recurrence/progression after surgery separately. Conclusion Our study demonstrated the potential role of TGF-β1 in the regulation of hypothalamus invasion in ACPs and the prediction of prognosis after EEA surgery. The TGF-β signaling pathway may represent a crucial mechanism in the aggressive behavior and progression of ACPs.

Type of Medium: Online Resource

ISSN: 1664-2392

URL: Article

DOI: 10.3389/fendo.2023.1167776

DOI: 10.3389/fendo.2023.1167776.s001

Language: Unknown

Publisher: Frontiers Media SA

Publication Date: 2023

detail.hit.zdb_id: 2592084-4

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8

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Low expression of secreted frizzled-related protein 4 in aggressive pituitary adenoma

Wu, Youtu ; Bai, Jiwei ; Li, Zhenye ; [et al.]

Springer Science and Business Media LLC ; 2015

In: Pituitary Vol. 18, No. 3 ( 2015-6), p. 335-342

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In: Pituitary, Springer Science and Business Media LLC, Vol. 18, No. 3 ( 2015-6), p. 335-342

Type of Medium: Online Resource

ISSN: 1386-341X , 1573-7403

URL: Article

DOI: 10.1007/s11102-014-0579-4

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2015

detail.hit.zdb_id: 2008775-5

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9

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Differential Diagnosis and Treatment Modality of Parasellar Plasmacytoma: Clinical Series and Literature Review

Jin, Lu ; Gui, Songbai ; Li, Chuzhong ; [et al.]

Elsevier BV ; 2019

In: World Neurosurgery Vol. 122 ( 2019-02), p. e978-e988

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In: World Neurosurgery, Elsevier BV, Vol. 122 ( 2019-02), p. e978-e988

Type of Medium: Online Resource

ISSN: 1878-8750

URL: Article

DOI: 10.1016/j.wneu.2018.10.183

Language: English

Publisher: Elsevier BV

Publication Date: 2019

detail.hit.zdb_id: 2530041-6

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10

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Expanded Endonasal Endoscopic Approach for Suprasellar Rathke Cleft Cyst: Treatment Outcome and Surgical Nuances

Jin, Lu ; Cao, Lei ; Zhu, Haibo ; [et al.]

Elsevier BV ; 2022

In: World Neurosurgery Vol. 167 ( 2022-11), p. e146-e156

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In: World Neurosurgery, Elsevier BV, Vol. 167 ( 2022-11), p. e146-e156

Type of Medium: Online Resource

ISSN: 1878-8750

URL: Article

DOI: 10.1016/j.wneu.2022.07.114

Language: English

Publisher: Elsevier BV

Publication Date: 2022

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