Benign Skull Tumors Treatment & Management

Updated: Dec 18, 2014
  • Author: Draga Jichici, MD, FRCP, FAHA; Chief Editor: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS  more...
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Treatment

Medical Care

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  • Administer aspirin or NSAIDs for osteoid osteoma.
  • Provide pain control symptomatically.
  • No treatment is required for asymptomatic lesions unless diagnostic concerns exist.
  • Stereotactic radiosurgery should be considered as an alternative to surgical resection for benign meningiomas. [10]
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Surgical Care

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  • Complete surgical excision is possible for symptomatic relief, cosmetic reasons, or cranial nerve decompression.
  • En bloc resection is the preferred intervention.
  • Curettage is also performed for lesions that cannot be resected completely. Careful removal of the cyst wall is critical in epidermoids and dermoids. Gamma Knife and CyberKnife are possible new ways of treating unresectable symptomatic lesions. [11]
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Consultations

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  • Neurosurgeon
  • Plastic surgeon
  • Neurologist
  • Radiation oncologist: Radiation therapy is acceptable as a second form of treatment in some partially resected lesions such as ossifying fibroma, hemangioma, and aneurysmal bone cyst because of their high recurrence rate. In addition, the Gamma Knife and the CyberKnife are under investigation.
  • Ophthalmologist
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