Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, 1400 Holcombe Boulevard, Houston, TX 77030, USA.
Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
J Clin Neurosci. 2014 Jun;21(6):1047-8. doi: 10.1016/j.jocn.2013.10.004. Epub 2013 Oct 23.
A 26-year-old man with a sellar pilocytic astrocytoma had a recurrent non-enhancing mass located in the sellar/suprasellar region visible on MRI. Due to tumor progression and worsening vision, the mass was completely resected through a transsphenoidal approach. Postoperatively, the patient's vision improved and imaging showed complete removal of the tumor and optic pathway decompression. Pilocytic astrocytomas originating in suprasellar structures can intrude into the sella, and should be included in the differential diagnosis of intrasellar tumors. The transsphenoidal approach can be effective for resecting such tumors.
一位 26 岁的男性患者患有鞍内/鞍上部位的颅咽管瘤，磁共振成像（MRI）显示该部位有一处复发性非增强肿块。由于肿瘤进展和视力恶化，该患者通过经蝶窦入路进行了完全切除。术后，患者的视力得到改善，影像学显示肿瘤完全切除且视神经通路得到减压。起源于鞍上结构的颅咽管瘤可向鞍内侵犯，应包括在鞍内肿瘤的鉴别诊断中。经蝶窦入路对于切除此类肿瘤是有效的。
