Total resection can be achieved and offers the best chance of cure, but the degree of tumor removal must be tempered by the degree of difficulty envisaged pre-operatively and encountered intraoperatively if formidable postoperative problems are to be avoided. There is a considerable variation between the surgical "hawks" and "doves" in this difficult disease.
Radiological risk factors include involvement of structures above the chiasm, such as the hypothalamus, as well as extensive lateral spread, particularly through the cavernous sinus and surrounding the carotid arteries. The overall management of the pediatric disease has been reviewed in the excellent paper from the Hospital for Sick Children, Great Ormond St, London .
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.