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Surgery to remove the tumor is associated with better outcomes, however, this is not always possible due to the proximity of the pineal gland to neurovascular structures. [3] Complete tumor resection is only seen in about 30% of cases. Following surgery, radiation therapy to the brain and spinal cord can increase survival. [2]
Papillary Tumors of the Pineal Region are located on the pineal gland which is located in the center of the brain. The pineal gland is located on roof of the diencephalon. It is a cone-shaped structure dorsal to the midbrain tectum. [3] The tumor appears to be derived from the specialized ependymal cells of the subcommissural organ.
A pineal gland cyst is a usually benign (non-malignant) cyst in the pineal gland, a small endocrine gland in the brain. Historically, these fluid-filled bodies appeared on 1-4% of magnetic resonance imaging (MRI) brain scans, but were more frequently diagnosed at death, seen in 4-11% of autopsies. [ 1 ]
Pharyngolaryngoesophagectomy is the surgical removal of the pharynx, larynx and esophagus, usually as a result of cancer of the hypopharynx. Photorefractive keratectomy is the alteration of the cornea by means of a laser. Pinealectomy is the surgical removal of the pineal gland, used often on birds to study circadian rhythms.
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An endocrinologist is only involved in preparation for an endoscopic endonasal surgery, if the tumor is located on the pituitary gland. The tumor is first treated pharmacologically in two ways: controlling the levels of hormones that the pituitary gland secretes and reducing the size of the tumor. If this approach does not work, the patient is ...
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