Reports suggest the use of disease-modifying antirheumatic drugs, radiation therapy, and steroids for skull base lesions, with most cases responding well to steroids.[ 2 , 5 ] While combined local therapies, including surgical resection, showed a trend toward lower recurrence, statistical significance was not established.[ 5 ] Given the necessity of invasive skull base procedures, surgical resection followed by pathological confirmation and adjunct systemic therapy, if required, appears to be the most pragmatic approach.
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