China Treatment Trial for Tumor in Sellar Region With Unruptured Intracranial Aneurysm

N/ANot Yet RecruitingNCT07809178

Cheng sen608 enrolled

Overview

The goal of this observational study is to learn about the treatment strategies for tumor in sellar region with unruptured intracranial aneurysms in the Chinese population. The main question it aims to answer is: For patients with tumor in sellar region combined with unruptured intracranial aneurysms, which condition should be treated first?

The goal of this observational study is to clarify the treatment strategies for tumor in sellar region with unruptured intracranial aneurysms in the Chinese population aged from 18 to 75. The main question it aims to answer is: * What is the appropriate treatment strategy for patients diagnosed with tumor in sellar region with unruptured intracranial aneurysms? * Should the tumor be resected first followed by aneurysm treatment, or should the aneurysm be treated prior to tumor resection? Alternatively, is tumor resection alone with regular observation of the aneurysm a viable option? * What are the patient's intraoperative risks, postoperative complications, and prognosis? Participants are required to: * Provide detailed medical records. * Complete laboratory tests and imaging examinations at scheduled time points and cooperate with neurosurgeons for follow-up visits after the relevant treatments. This is an observational study. It solely collects patients' pre-operative, intra-operative, and post-operative follow-up information and does not influence the patient's treatment process or clinical decision-making.

Study Type

OBSERVATIONAL

Enrollment

608

Conditions

Unruptured Intracranial Aneurysms Pituitary Neuroendocrine Tumor Craniopharyngioma

Interventions

Tumor resection followed by aneurysm treatmentPROCEDURE

Tumor resection followed by aneurysm treatment

Aneurysm treatment followed by tumor resectionPROCEDURE

Aneurysm treatment followed by tumor resection

ObservationOTHER

Tumor resection without aneurysm treatment but observation

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Preoperative enhanced head MRI showing a suspected diagnosis of a sella region lesion, and preoperative head CTA/DSA confirming an unruptured intracranial aneurysm. 2. Patients with primary sella region tumor and unruptured intracranial aneurysms that have not previously accepted surgical treatment. 3. Patients with tumor in sellar region requiring craniotomy or endoscopic transnasal surgery and/or an aneurysm requiring craniotomy, endovascular treatment, or observation only. 4. The patients are in good general health, without severe underlying medical conditions, and capable of tolerating surgical treatment. 5. Patients or their legal guardians have signed an informed consent form and voluntarily agreed to participate in the clinical trial. Exclusion Criteria: 1. Patients with recurrent sella region tumors. 2. Patients with previously treated intracranial aneurysm. 3. Pregnant or breastfeeding women. 4. Any other condition that, in the investigator's judgment, makes the patient unsuitable for trial participation.

Outcomes

Primary Outcomes

Aneurysm progression

The diameter of aneurysm neck, the diameter of aneurysm dome, the volume of aneurysm, aneurysm rupture status

Time frame: From enrollment to the end of treatment at 24 months

Tumor related complication and progression

The related complication and progression of tumor in sellar region: pituitary hormone level, visual acuity and visual field, hydrocephalus and tumor recurrence.