Original Research Article
Year: 2017 | Month: November | Volume: 7 | Issue: 11 | Pages: 95-100
A Study of Pineal Region Tumors in the Northeast India
Dr Mrinal Bhuyan1, Dr Kishore Kr Sarma2
1Associate Professor, Department of Neurosurgery, Gauhati Medical College, Guwahati, Assam
2Senior resident, Department of Neurosurgery, Gauhati Medical College, Guwahati, Assam
Corresponding Author: Dr Kishore Kr Sarma
ABSTRACT
Background: Management of Pineal region tumors is a formidable challenge to neurosurgeons. Infratentorial supracerebellar and occipital transtentorial microsurgical approaches are accepted as the main standard accesses to the pineal region. However, the treatment options for the different pineal region tumors vary according to their histological nature. The present study aims to evaluate the pineal region tumors, and document the clinical presentation, histopathological findings and the various treatment modalities of pineal tumor in North East region of India.
Materials and methods: A retrospective analysis of 2126 brain tumor cases admitted in neurosurgery ward of Gauhati Medical College and Hospital from January 2010 to June 2017 was conducted. Clinical presentation, CT scan and MRI findings were recorded. Tumor markers serum AFP and serum βHCG were evaluated.
Results: Of 2126 cases of brain tumor, 0.70% cases were pineal region tumors. 80% were male and the 20% were female patients. 46.67% germinoma, 33.33% pinealocytoma and 6.67% each of glioma, tuberculoma and benign cyst cases.
Conclusion: The treatment and prognosis differ between particular tumor categories. Noninvasive multimodality approach of radiotherapy and chemotherapy can be effective treatment preventing microsurgical resection to a small subset of benign lesions.
Key words: Pineal tumors, benign lesions, microsurgery, treatment