Banczerowski Péter, Bálint Katalin, Sipos László
National Institute of Neurosurgery, Budapest, Hungary.
J Neurosurg. 2007 Jul;107(1):178-80. doi: 10.3171/JNS-07/07/0178.
A rare case of histologically confirmed primary craniopharyngioma at an ectopic location is presented. This cystic tumor, which had a small solid portion, was located extradurally at the right temporobasal region, and pyramidal bone erosion was observed. No evidence of involvement of the sellar or suprasellar region was found. The neuroimaging findings, surgical intervention, and histopathological features of the tumor are discussed. The authors' hypothesis regarding the extradural location of the tumor is that mismigration of squamous epithelial cell remnants of the obliterated craniopharyngeal canal had occurred.
本文报告一例组织学确诊的异位原发性颅咽管瘤罕见病例。该囊性肿瘤有一小部分实性成分,位于右侧颞底部硬膜外,可见锥体骨质侵蚀。未发现鞍区或鞍上区受累迹象。文中讨论了该肿瘤的神经影像学表现、手术干预及组织病理学特征。作者关于肿瘤硬膜外位置的假说是,闭塞的颅咽管鳞状上皮细胞残余发生了异位迁移。