دورية أكاديمية
A watch, wait, and rescan approach for incidental benign-appearing notochordal lesions of the skull base.
| العنوان: | A watch, wait, and rescan approach for incidental benign-appearing notochordal lesions of the skull base. |
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| المؤلفون: | Usher IE; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester.; 2Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Division of Neuroscience, School of Biological Sciences, University of Manchester, United Kingdom., Drosos E; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Morsy A; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Wadeson A; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Laitt R; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Abdulla S; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Madhavan A; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Halliday J; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., Rutherford S; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester., King AT; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester.; 2Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Division of Neuroscience, School of Biological Sciences, University of Manchester, United Kingdom., Pathmanaban ON; 1Manchester Centre for Clinical Neurosciences, Northern Care Alliance NHS Foundation Trust, Salford, Manchester.; 2Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Division of Neuroscience, School of Biological Sciences, University of Manchester, United Kingdom. |
| المصدر: | Neurosurgical focus [Neurosurg Focus] 2024 May; Vol. 56 (5), pp. E2. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 100896471 Publication Model: Print Cited Medium: Internet ISSN: 1092-0684 (Electronic) Linking ISSN: 10920684 NLM ISO Abbreviation: Neurosurg Focus Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Charlottesville, VA : American Association of Neurological Surgeons, c1996- |
| مواضيع طبية MeSH: | Notochord*/diagnostic imaging , Skull Base Neoplasms*/diagnostic imaging , Magnetic Resonance Imaging*/methods , Incidental Findings*, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Adult ; Aged ; Chordoma/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Follow-Up Studies ; Young Adult ; Cranial Fossa, Posterior/diagnostic imaging |
| مستخلص: | Objective: The aim of this study was to describe the natural history of incidental benign-appearing notochordal lesions of the skull base with specific attention to features that can make differentiation from low-grade chordoma more difficult, namely contrast uptake and bone erosion. Methods: In this retrospective case series, the authors describe the clinical outcomes of 58 patients with incidental benign-appearing notochordal lesions of the clivus, including those with minor radiological features of bone erosion or contrast uptake. Results: All lesions remained stable during a median follow-up of almost 3 years. Thirty-seven (64%) patients underwent contrast-enhanced MRI; lesions in 14 (38%) of these patients exhibited minimal contrast enhancement. Twenty-seven (47%) patients underwent CT; lesions in 6 (22%) of these patients exhibited minimal bone erosion. Conclusions: These data make the case for monitoring selected cases of benign-appearing notochordal lesions of the clivus in the first instance even when there is minor contrast uptake or minimal bone erosion. |
| فهرسة مساهمة: | Keywords: BNCT; benign notochordal cell tumor; chordoma; ecchordosis physaliphora; sarcoma; skull base |
| تواريخ الأحداث: | Date Created: 20240501 Date Completed: 20240501 Latest Revision: 20240628 |
| رمز التحديث: | 20240629 |
| DOI: | 10.3171/2024.2.FOCUS23912 |
| PMID: | 38691870 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1092-0684 |
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| DOI: | 10.3171/2024.2.FOCUS23912 |