Bian Bingyang, Yu Miao, Liu Shanshan, Li Shu, Wei Ying, Zhang Bei
Department of Radiology.
Department of Pediatric Ultrasound, First Hospital of Jilin University, Changchun.
Medicine (Baltimore). 2019 Jul;98(30):e16650. doi: 10.1097/MD.0000000000016650.
Bronchogenic cysts are mainly benign, congenital abnormalities, originating from the remnants of the primitive foregut. However, intracranial bronchogenic cysts have been rarely observed. Hence, better understanding of the suprasellar bronchogenic cysts is of great significance to properly perform perioperative management.
PATIENT'S CONCERNS: A 62-year-old Chinese female was admitted to our hospital due to impairment of memory and asthenia.
Magnetic resonance imaging (MRI) confirmed presence of cystic lesion in the suprasellar region. The patient underwent craniotomy with resection of the cystic mass. The histopathological examinations confirmed diagnosis of bronchogenic cyst as well.
The cystic lesion was removed without complications. No drugs during follow-up were recommended.
After discharge, the patient was advised to undergo MRI for 6 months to 1 year. No evidence of recurrence was found in the first postoperative review.
Bronchogenic cysts should be considered in differential diagnosis of cystic mass detected in the suprasellar region on MRI. Once the disease is considered, surgical resection is recommended to obtain pathological diagnosis, alleviate clinical symptoms, and prevent complications.
支气管源性囊肿主要是良性先天性异常，起源于原始前肠的残余部分。然而，颅内支气管源性囊肿很少见。因此，更好地了解鞍上支气管源性囊肿对于正确进行围手术期管理具有重要意义。
一名62岁中国女性因记忆力减退和乏力入住我院。
磁共振成像（MRI）证实鞍上区域存在囊性病变。患者接受了开颅手术并切除了囊性肿块。组织病理学检查也证实了支气管源性囊肿的诊断。
囊性病变被切除，无并发症。随访期间不建议使用药物。
出院后，建议患者在6个月至1年内进行MRI检查。首次术后复查未发现复发迹象。
在MRI检查发现鞍上区域囊性肿块的鉴别诊断中应考虑支气管源性囊肿。一旦考虑到该病，建议手术切除以获得病理诊断、缓解临床症状并预防并发症。
