Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Memfys Hospital for Neurosurgery, Enugu, Nigeria.
Nagoya J Med Sci. 2021 May;83(2):379-386. doi: 10.18999/nagjms.83.2.379.
Intracranially located teratomas usually involve midline brain structures. However, they rarely occur in adults. A 26-year-old woman presented with a growing intracranial mass lesion in the left sphenoid ridge without neurological deficits. Magnetic resonance imaging revealed homogenous hyperintensities without contrast enhancement. The patient underwent gross total excision of the soft, yellowish sphenoid ridge tumor with no cystic component. The surgery was uneventful, with no intraoperative complications. Histological analysis revealed a mature teratoma. She attended regular outpatient neuroradiology follow-up appointments. The present case is an unusual example of a mature teratoma with regard to location, neuroimaging appearance, macroscopic intraoperative findings, histological tumor subtype, and patient age and sex.
颅内畸胎瘤通常涉及中线脑结构。然而,它们在成年人中很少见。一位 26 岁的女性因左蝶骨嵴不断增大的颅内肿块病变就诊,无神经功能缺损。磁共振成像显示均匀高信号,无对比增强。患者行大体全切除软、黄色蝶骨嵴肿瘤,无囊性成分。手术过程顺利,无术中并发症。组织学分析显示为成熟畸胎瘤。她定期到神经放射科门诊就诊。就位置、神经影像学表现、术中大体所见、组织学肿瘤亚型以及患者年龄和性别而言,本例是一个罕见的成熟畸胎瘤的例子。