Karavitaki N, Scheithauer B W, Watt J, Ansorge O, Moschopoulos M, Llaguno A V, Wass J A H
Department of Endocrinology, Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, Oxford, UK.
Pituitary. 2008;11(3):317-23. doi: 10.1007/s11102-007-0070-6.
Collision lesions of the sellar region are relatively uncommon. Most contributions include a pituitary adenoma or a cyst/cystic tumor, particularly a Rathke cleft cyst. The association of craniopharyngioma with an adenoma is particularly rare. Among reported cases, some have included secondary prolactin cell hyperplasia due to pituitary stalk section effect. Herein, we report two collision lesions, including a gonadotroph adenoma with adamantinomatous craniopharyngioma and a corticotroph adenoma with Rathke's cleft cyst. Clinicopathologic correlation and a review of the literature are undertaken.
鞍区碰撞性病变相对少见。大多数病例包括垂体腺瘤或囊肿/囊性肿瘤,尤其是拉克氏囊肿。颅咽管瘤与腺瘤并存的情况极为罕见。在已报道的病例中,有些包括因垂体柄切断效应导致的继发性催乳素细胞增生。在此,我们报告两例碰撞性病变,包括一例促性腺激素腺瘤合并造釉细胞型颅咽管瘤以及一例促肾上腺皮质激素腺瘤合并拉克氏囊肿。并进行了临床病理相关性分析及文献复习。