Sameshima Tetsuro, Tanikawa Rokuya, Sugimura Toshihide, Izumi Naoto, Seki Toshitaka, Maeda Takahiro, Tsuboi Toshiyuki, Hashimoto Masaaki, Kimura Teruo, Nabeshima Kazuki
Abashiri Neurosurgical Hospital, Abashiri, Hokkaido.
Neurol Med Chir (Tokyo). 2010;50(2):144-6. doi: 10.2176/nmc.50.144.
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.
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。