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起源于蝶鞍的脉络丛乳头状瘤——病例报告

Choroid plexus papilloma originating in the sella turcica--case report.

作者信息

Sameshima Tetsuro, Tanikawa Rokuya, Sugimura Toshihide, Izumi Naoto, Seki Toshitaka, Maeda Takahiro, Tsuboi Toshiyuki, Hashimoto Masaaki, Kimura Teruo, Nabeshima Kazuki

机构信息

Abashiri Neurosurgical Hospital, Abashiri, Hokkaido.

出版信息

Neurol Med Chir (Tokyo). 2010;50(2):144-6. doi: 10.2176/nmc.50.144.

Abstract

A 51-year-old female presented with a rare case of choroid plexus papilloma originating in the sella turcica manifesting as headaches that was not readily distinguishable preoperatively from pituitary adenoma. Head magnetic resonance imaging revealed a tumor extending from the sella turcica to the suprasellar cistern. The tumor was removed via an endonasal transsphenoidal approach. Histological examination indicated a papillary structure covered with a layer of columnar epithelial cells that resembled normal choroid plexus. These findings, together with immunohistochemistry, led to a diagnosis of choroid plexus papilloma.

摘要

一名51岁女性,患有一例罕见的起源于蝶鞍的脉络丛乳头状瘤,表现为头痛,术前难以与垂体腺瘤区分开来。头部磁共振成像显示肿瘤从蝶鞍延伸至鞍上池。通过鼻内镜经蝶窦入路切除肿瘤。组织学检查显示有一层柱状上皮细胞覆盖的乳头状结构,类似正常脉络丛。这些发现,结合免疫组化,诊断为脉络丛乳头状瘤。

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