Hatayama K, Abe T, Endo T, Kobayashi N, Shimazu M, Sasaki K, Izumiyama H, Matsumoto K, Arai Y, Kuwasawa J
Department of Neurosurgery, Showa University School of Medicine, Tokyo, Japan.
No To Shinkei. 2000 Oct;52(10):929-33.
Three cases with a pituitary cystic mass that spontaneously disappeared were discussed. Common characteristics of these 3 cases were presence of headache, cystic mass, spontaneous disappearance, and no recurrence. Based on clinical course, MRI findings such as cystic mass with ring enhancement, no calcification, and displacement posteriorly of the normal pituitary gland, and previous reports, these 3 cases were diagnosed as an equivocal Rathke's cleft cyst. We suggested that operative indication in an equivocal Rathke's cleft cyst, even though it was symptomatic, should be decided after sufficient follow-up, because there may be a possibility of spontaneous reduction or disappearance like our cases.
讨论了3例垂体囊性肿块自发消失的病例。这3例病例的共同特征为存在头痛、囊性肿块、自发消失且无复发。根据临床病程、磁共振成像(MRI)表现,如囊性肿块伴环状强化、无钙化以及正常垂体腺向后移位,以及既往报告,这3例病例被诊断为可疑的拉克氏囊肿。我们建议,对于可疑的拉克氏囊肿,即使有症状,手术指征也应在充分随访后决定,因为可能像我们的病例一样存在自发缩小或消失的可能性。