Skull bone tumor resection with intraoperative indocyanine green fluorescence imaging: A series of four surgical cases
العنوان: | Skull bone tumor resection with intraoperative indocyanine green fluorescence imaging: A series of four surgical cases |
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المؤلفون: | Hirohiko Nakamura, Takahito Fukui, Kenichi Sato, Masahiro Okuma, Yusuke Nakagaki, Youichi Nakagaki, Bunsho Asayama, Toshiaki Osato |
المصدر: | Interdisciplinary Neurosurgery, Vol 9, Iss, Pp 8-13 (2017) |
بيانات النشر: | Elsevier, 2017. |
سنة النشر: | 2017 |
مصطلحات موضوعية: | medicine.medical_specialty, Surgical margin, Tumor resection, H&E stain, lcsh:Surgery, lcsh:RC346-429, Hemangioma, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Langerhans cell histiocytosis, medicine, Skull bone, lcsh:Neurology. Diseases of the nervous system, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, lcsh:RD1-811, medicine.disease, eye diseases, chemistry, 030220 oncology & carcinogenesis, Surgery, Neurology (clinical), Radiology, business, Indocyanine green, 030217 neurology & neurosurgery |
الوصف: | Background Skull bone tumor resection is sometimes difficult, when tumor is hidden under the bone surface or similar to the normal bone in appearance. Indocyanine green (ICG) fluorescence has been used in various surgical fields for visualizing vascular and tumor tissues. This is the first report to show that intraoperative ICG fluorescence is useful for skull bone tumor resection. Case description Four patients underwent skull bone tumor resection from June to December 2014. Two patients had Langerhans cell histiocytosis, and the others had hemangiomas. During surgical treatment, intraoperative ICG injection revealed the bone tumors hidden in normal bone tissue in real time. Three of the four tumors were identified as a high intensity area, and the other, a cavernous hemangioma, as an area lacking fluorescent enhancement. Each area was marked and then removed en bloc with an outside margin of 1 cm. On pathological examination, the surgical margin corresponded to the actual margin. In all cases, Postoperative course was uneventful, and there was no tumor recurrence. Conclusion Our experience illustrates that intraoperative ICG fluorescence examination might be a useful supplemental method for skull bone tumor resection, especially for tumors extending under the bone surface or similar to normal bone in appearance. |
اللغة: | English |
تدمد: | 2214-7519 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc1241f0bdc77bcfad563266690d6c0aTest http://www.sciencedirect.com/science/article/pii/S2214751916301591Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....bc1241f0bdc77bcfad563266690d6c0a |
قاعدة البيانات: | OpenAIRE |
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