| Description |
1 online resource (56 minutes) |
| Summary |
The video describes the case of an infant referred by another foreign institution at the age of 11 months for surgical management of a giant pineal tumor resistant to chemotherapy. The child was diagnosed with pineal tumor and hydrocephalus at the age of 7 months. Ventriculoperitoneal shunt was implanted and microsurgical biopsy was performed through a transcallosal approach. Histology was in favour of immature teratoma. Three cycles of chemotherapy were administered but tumor continued to grow and the patient was referred for surgical treatment. The surgical strategy to approach the lesion is extensively described. Due to the dimensions (8x5x6 cm) the tumor could not be removed in a single procedure and staged resection was planned. The first procedure was performed through posterior interhemispheric transtentorial approach, allowing significant debulking of the lower two/thirds of the lesion. The second procedure was performed three weeks later through anterior interhemispheric transcallosal approach that allow subtotal removal of the supratentorial component. The third procedure, re-opening the previous transcallosal approach, allowed subtotal resection of the intraventricular mass. The last paraventricular nodule was removed one week later with endoscopic approach using endoscopic ultrasonic aspirator. After four surgical procedures, complete macroscopic removal was achieved and the patient was referred to oncologists for high-dose chemotherapy with autologous bone-marrow transplantation. Total removal of the tumor was therefore achieved with four procedures |
| Notes |
Title from resource description page (viewed March 16, 2020) |
| Performer |
Presenter: Giuseppe Cinalli |
| Notes |
In English |
| Subject |
Pineal gland -- Tumors -- Case studies
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Tumors -- Surgery -- Case studies
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Infants -- Surgery -- Case studies
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Infants -- Surgery.
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Pineal gland -- Tumors.
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Tumors -- Surgery.
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| Genre/Form |
Case studies.
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Instructional films.
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Instructional films.
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Case studies.
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Films de formation.
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Études de cas.
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| Form |
Streaming video
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| Author |
Cinalli, G. (Giuseppe), 1961- speaker, author.
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Sacco, Matteo, author
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Springer Nature (Firm), film distributor.
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Springer (Firm), production company.
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