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Figures for:
Management of Malignant Tumors of the Anterior Skull Base: Experience With 76 Patients

[Neurosurg Focus 13(4), 2002. © 2002 American Association of Neurological Surgeons]


Figure 1. Neuroimaging studies. Left: Pathological diagnosis of this heterogeneously enhancing lesion was teratocarcinoma. Right: Two years following an extensive transbasal resection, no tumor recurrence is noted.

Figure 2. Neuroimaging studies. Left and Right: Representative images of invasive esthesioneuroblastoma. Even with aggressive management, it is often difficult to achieve a 2-year survival rate in these cases.

Figure 3. Neuroimaging studies.The invasive nature of esthesioneuroblastoma precludes long-term survival in advanced cases. Left and Right: In this rare exception, a 10-year malignancy-free survival rate was noted postoperatively.

Figure 4. Neuroimaging studies. Upper Left and Right: Chondrosarcomas can invade locally. Lower: Following an extensive transbasal approach for resection and postoperative radiotherapy, a 6-year survival rate without significant recurrence was demonstrated.

Figure 5. Drawings providing an overview of the anterior cranial fossa anatomy and the surgical approaches.

Figure 6. Neuroimaging studies. Upper Left, Upper Right, and Lower Left: Small cell ethmoid carcinomas are managed by administering a 20-Gy dose of radiation preoperatively following aggressive resection. Lower Right: Results after excision and radiotherapy. With this paradigm long-term survival is possible.

Figure 7. Drawing demonstrating incisions for bifrontal craniotomy.

Figure 8. Drawings. Left: Bifrontal craniotomy. Right: Removal of the supraorbital bar. n = nerve.

Figure 9. View following extensive transbasal approach. sup = superior.