Suprasellar and Sellar Tumors in Childhood and Adolescence

https://doi.org/10.1016/S1042-3680(18)30628-4Get rights and content

Suprasellar and sellar region tumors in childhood constitute a diverse group of lesions. In this article, the detailed management of children with germinoma, craniopharyngioma, chiasmatic and hypothalamic glioma, arachnoid cyst, pituitary adenoma, and Rathke’s cleft cyst is discussed. The authors advocate an aggressive surgical approach to these lesions. Improved survival for children with malignant lesions in the suprasellar region has been found with the identification of effective chemotherapy agents and newer focal radiation regimens.

References (0)

Cited by (41)

  • Endonasal Resection of Craniopharyngiomas: Post-operative Management. Post-operative Management.

    2015, Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome
  • Imaging tumors of the pediatric central nervous system

    2011, Radiologic Clinics of North America
    Citation Excerpt :

    The appearance of pituitary adenomas is nearly identical to that in adults, although macroadenomas are more common in the pediatric population.150 Tumors may be isointense or hypointense (compared with the normal pituitary gland) on T1-weighted images and isointense to hyperintense on T2-weighted images.150,151 Detection of microadenoma is primarily based on relative hypoenhancement compared with normal surrounding pituitary glandular tissue after the administration of paramagnetic contrast agent.150–152

  • Multiportal endoscopic approaches to the central skull base: A cadaveric study

    2010, World Neurosurgery
    Citation Excerpt :

    This will also aide in improved reconstructive efforts for large defects (which is currently being studied by our group). The clinical application of endoscopic multiportal skull base approaches is similar to combined cranial approaches (e.g., petrosal craniotomy) or a transsphenoidal and pterional craniotomy to address complicated lesions such as craniopharyngiomas and large pituitary lesions (1, 20, 23). The nares offer a finite space for the use of rigid instruments, and the addition of a rigid endoscope adds challenge to this delicate work.

  • Optic pathway gliomas

    2005, Textbook of Neuro-Oncology
View all citing articles on Scopus
View full text