Download CNS Metastases Neurosurgery in the Aged by H. Penzholz (auth.), Prof. Dr. Wolfgang Piotrowski, Prof. PDF

By H. Penzholz (auth.), Prof. Dr. Wolfgang Piotrowski, Prof. Dr. Mario Brock, Priv.-Doz. Dr. Margareta Klinger (eds.)

Distribution rights for Japan: Nankodo Co., Ltd., Tokyo

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P. Trappe. 28 medulloblastomas other tU'TlOf1I Fig. 1. Distribution of tumors in 2553 patients of the Neurosurgical Department of Dlisseldorf Univ ersity from 1963 until 1982 29 Intracranial Melanomas G. Pendl, Th. Czech, and A Horaczek Neurochirurgische Universitatsklinik Wi en, Aiserstrasse 9, A-1090 Wien Introduction In the current literature malignant melanoma metastases are the third most frequent metastases to the eNS after carcinomas of the lung and breast. , ~, 26, 28), where melanoma is the most frequent metastasizing neoplasm in the eNS (10).

8%) had malignant lymphomas. In contrast to patients with metastases of carcinomas, sarcoma patients include children and young people as well, and five of the 13 patients were under 30 years of age. At operation total removal of the sarcoma was possible in five cases, while eight patients had only a subtotal removal of the tumor. The prognosis of these sarcoma patients is depicted in Table 5. This shows that almost 40% of the patients had died by six months after operation and almost three quarters of the sarcoma patients were dead within one year of operation.

6% whereas other authors (4, 11) reported ambulation rates of 37% to 46% after operation and-of~9% to 63% after radiotherapy (4, 12). Some authors refer to pain relief as another criterion for successful treatment of spinal extradural metastases. COBB indicated that 45% of patients initially treated by operation were relieved of radicular pain, compared to 52% in our series. Among our patients normal bladder function was preserved or restored in 61%. YOUNG et al. reported that normal function was observed in 75% of their patients treated by operation plus radiotherapy in 60% of those patients treated by radiotherapy alone.

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