Postoperative radiоtherapy for craniopharyngeоma in adulthood-case from our practice with a literary overview
We present a 31 year old woman with a large craniopharyngeоma (CPh) after a subtotal surgical resection. Craniopharingiomas are rare benign tumors, developing from embryonic residues of the craniopharyngeal tube or the pocket of Rathke along the nasopharynx-diencephalon. A large part of these epithelial tumors develop in the sellar, parasellar and suprasellar brain area and are typical for children’s age. Against the background of this rare case, the clinical symptomatology, the volume of surgical interventions, the various methods of percutaneous postoperative radiatiotherapy, as well as possible late complications associated with the combined treatment conducted, is considered. For large volume of CPh is recommended subtotal tumor resection, followed by postoperative fractionated intensive modulated radiation treatment in the area of tumor residue up to a total dose of 54 Gy with daily dose of 2Gy.
Key words: CRANIOPHARYNGEОMA. ADULTHOOD. SURGERY. RADIATION THERAPY