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For sellar tumors with suprasellar extension, how do you decide between an endoscopic approach versus a craniotomy?

1 Answers
Mednet Member
Mednet Member
Neurosurgery · Medical University of South Carolina

Cranial will be preferable for a very extensive suprasellar extension of the tumor. If the majority of the tumor is intrasellar and the carotid arteries are far apart enough, then a transnasal endoscopic approach is reasonable to consider, as long as the tumor in the suprasellar part is not lateral ...

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