Gouvea V M, Hahn M D, Chimelli L
University Federal Fluminense, Niterói, Brasil.
Arq Neuropsiquiatr. 1989 Sep;47(3):371-4. doi: 10.1590/s0004-282x1989000300021.
Intracranial lipomas are rare, usually do not have clinical expression and are located more frequently in the corpus callosum. Other locations include the spinal cord, midbrain tectum, superior vermis, tuber cinereum, infundibulum and more rarely cerebellopontine angle, hypothalamus, superior medullary velum and insula. We report the case of a lipoma of the left inferior colliculus which was a post-mortem finding in a woman who died of breast cancer. Although there are reports of intracranial lipomas in patients with malignant tumors there is no explanation for the co-existence of the two tumors. The present tumor also includes a segment of a nerve which is not uncommon, but a less common finding was the presence of nests of Schwann cells within it, shown by immunohistochemistry.
颅内脂肪瘤很罕见,通常没有临床表现,且更常位于胼胝体。其他部位包括脊髓、中脑顶盖、上蚓部、灰结节、漏斗,更罕见的是桥小脑角、下丘脑、上髓帆和岛叶。我们报告一例左下丘脑脂肪瘤病例,这是一名死于乳腺癌的女性尸检时发现的。虽然有关于恶性肿瘤患者颅内脂肪瘤的报道,但对于这两种肿瘤并存尚无解释。目前的肿瘤还包含一段神经,这并不罕见,但通过免疫组织化学显示,其中存在施万细胞巢则是较不常见的发现。