COMMENTARY Commentary: Cystic Craniopharyngiomas: Microsurgical or Stereotactic Treatment? raniopharyngiomas always have been, are, orange problem diminishing the value of this Peter C. Warnke, MD, FRCS and for the foreseeable future will remain comparison. C a polarizing disease so truly charac- Solid tumors were invariably treated with Section of Neurosurgery, The University of terized by the strong opinions expressed by resection and “purely cystic” tumors with stereo- Chicago, Chicago, Illinois the different treatment advocates unfortunately tactic drainage, but then also 5 tumors in this Correspondence: not matched by likewise strong data. Still, group were treated with microsurgery creating Peter C. Warnke, MD, FRCS, given these constraints the pendulum swings incomparable groups right at the beginning and Section of Neurosurgery, in the direction of a less aggressive more not exactly a consistent approach. The University of Chicago, 5841 S targeted surgical approach and multidisciplinary The only small subgroup of predominantly Maryland Avenue, Chicago, IL 60637. management including sophisticated forms of cystic tumors where maybe equipoise existed E-mail: radiotherapy/radiosurgery. were treated with both modalities according firstname.lastname@example.org The article Cystic Craniopharyngiomas: Mi- to the surgeon’s experience introducing the crosurgical or Stereotactic Treatment? supports statistician’s nightmare: selection bias. So, the Received, September 28, 2016.
Neurosurgery – Oxford University Press
Published: May 1, 2017
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