[The surgical treatment strategy and results of XXXX in the era of radiosurgery].

@entity1 @entity1183 @entity41 @entity5 @entity1653 @entity2414
We evaluated the surgical treatment results of @entity1653 in the era of radiosurgery. We treated 24 @entity1 of @entity1653 surgically. The median age was 60 yrs (ranging from 29 to 82 yrs). The most common @entity5 location was the sphenoid ridge in 12 @entity1 and the tuberculum sellae in 7 @entity1 . The pterional approach using fronto-temporal craniotomy was performed for all @entity1 . The residual or recurrent @entity5 were treated by gamma knife radiosurgery (GKS). We are able to follow up these cases for a median of 3.8 yrs (ranging from 1 to 8 yrs) after the operations. The radicality of @entity5 resection was Simpson grade II in 13 @entity1 (54%), grade III in 3 @entity1 (13%) and grade IV in 7 @entity1 (33%). Clinical improvement was achieved in 81% of the @entity1 . Of the @entity1 who had visual disturbance preoperatively, 8 @entity1 (73%) showed improvement, but 3 @entity1 suffered deterioration postoperatively. None of the @entity1 died. One @entity1 suffered transient @entity2414 and one @entity1 suffered mild @entity1183 postoperatively. Boost radiosurgery for the @entity41 was performed for six @entity1 and @entity5 growth control was able to be achieved in all @entity1 , with a median of 3.1 years follow-up period (ranging from 0.5 to 6 yrs). Five @entity1 with @entity5 regrowth or recurrence were treated by GKS. We recommend fronto-temporal craniotomy with nonradical resection for @entity1653 and radiosurgery for residual and recurrent @entity5 . This strategy will achieve good functional outcome with long-term @entity5 growth control.
