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垂体柄血管母细胞瘤的手术治疗:1例极其罕见的病例

Surgical Treatment of Hemangioblastoma in the Pituitary Stalk: An Extremely Rare Case.

作者信息

Lim Jaejoon, Noh Sunghyun, Cho Kyung Gi

机构信息

Department of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Korea.

出版信息

Yonsei Med J. 2016 Mar;57(2):518-22. doi: 10.3349/ymj.2016.57.2.518.

Abstract

Hemangioblastoma (HBL) in the pituitary stalk is extremely rare. Only 16 such cases have been reported in the past and 5 cases have been treated with surgical procedure. Here, we report surgical case of HBL in the pituitary stalk diagnosed in a 34-year-old woman. The patient underwent a gross-total resection via the modified lateral supra-orbital approach. No recurrence was observed in two years after surgery. To our knowledge, this is the 17th case of HBL in the pituitary stalk and the 6th surgical case. If the tumor is symptomatic and the volume is over 5 cubic centimeters as in our case, we recommend that the surgical resection of the HBL in the pituitary stalk is a more safe and reasonable than radiotherapy.

摘要

垂体柄血管母细胞瘤(HBL)极为罕见。过去仅报道过16例此类病例,其中5例接受了手术治疗。在此,我们报告一例34岁女性被诊断为垂体柄HBL的手术病例。该患者通过改良眶上外侧入路进行了全切除。术后两年未观察到复发。据我们所知,这是第17例垂体柄HBL病例,也是第6例手术病例。如果肿瘤有症状且体积超过5立方厘米,如我们的病例所示,我们建议垂体柄HBL的手术切除比放射治疗更安全、更合理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6ff/4740549/85da600dfc02/ymj-57-518-g001.jpg

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