Surgical treatment of endolymphatic sac tumor with adjunctive stereotactic radiation therapy--case report.

Abstract:

:A 44-year-old man presented with an endolymphatic sac tumor (ELST) associated with von Hippel-Lindau disease, which required four surgical procedures within 10 years. The earlier two surgeries resulted in only partial removal of the tumor because of vigorous intraoperative bleeding. Stereotactic radiation therapy was performed twice. The intraoperative bleeding was easy to control in the third operation, and ultimately the tumor was totally extirpated in the fourth operation. Histological examination of the tumor specimen harvested in the final surgery showed that the tumor cells had clearly decreased in number, and the interstitial tissue had become fibrous with organization of the tumor vessels, compared with the tumor specimen from the first surgery. Preoperative radiotherapy may be effective to reduce the devastating intraoperative bleeding of ELST.

authors

Hashimoto M,Yokota A,Urasaki E,Imada H,Yamamoto H

doi

10.2176/nmc.44.595

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

595-9

issue

11

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/44.595

journal_volume

44

pub_type

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