拉克氏裂囊肿中的异位涎腺组织。
Ectopic salivary gland tissue in a Rathke's cleft cyst.
作者信息
Ranucci Valentina, Coli Antonella, Marrucci Eleonora, Paolo Mattogno Pier, Della Pepa Giuseppe, Anile Carmelo, Mangiola Annunziato
机构信息
Department of Anatomic Pathology, Catholic University, Rome, Italy.
出版信息
Int J Clin Exp Pathol. 2013 Jun 15;6(7):1437-40. Print 2013.
The presence of salivary gland tissue in the sella turcica has rarely been reported, mainly after pituitary examination at autopsy. Only five symptomatic cases have previously been described, mainly associated with Rathke's cleft cyst. We report a 17-year-old boy presenting with headaches and hyperprolactinemia. The MRI showed a 19 mm sellar mass that at surgery revealed as a cystic lesion filled with mucinous fluid. The histological examination documented the presence of ectopic salivary gland tissue in the wall of a Rathke's cleft cyst. The present report focuses on the possible pitfalls when dealing with unusual sellar lesions, and the need of increased awareness of this rare condition.
蝶鞍内存在唾液腺组织的情况鲜有报道，主要是在尸检时进行垂体检查后发现。此前仅描述过5例有症状的病例，主要与拉克氏囊肿相关。我们报告了一名17岁男孩，他出现头痛和高催乳素血症。MRI显示蝶鞍区有一个19毫米的肿块，手术时发现是一个充满黏液性液体的囊性病变。组织学检查证实拉克氏囊肿壁内存在异位唾液腺组织。本报告重点关注处理不寻常蝶鞍区病变时可能存在的陷阱，以及提高对这种罕见疾病认识的必要性。
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