Takagi Katsuhiro, Kikuchi Kazufumi, Hiwatashi Akio, Togao Osamu, Sangatsuda Yuhei, Kuga Daisuke, Mizoguchi Masahiro, Yamamoto Hidetaka, Iwaki Toru, Ishigami Kousei
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Molecular Imaging & Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Acta Radiol Open. 2021 Jul 30;10(7):20584601211030661. doi: 10.1177/20584601211030661. eCollection 2021 Jul.
Craniopharyngiomas are benign neoplasms with two histological subtypes: adamantinomatous and papillary. Papillary craniopharyngiomas are rare in children, and those with a pituitary abscess within are even rarer. Herein, we present the case of a 14-year-old boy with a papillary craniopharyngioma and a coexisting intratumoral abscess, who was hospitalized for persistent pyrexia, polyuria, and polydipsia. The absence of calcification on computed tomography, high signal intensity inside the tumor on diffusion-weighted imaging, and clinical findings such as fever, a high inflammatory response, and meningitis, as well as short-term morphological changes on imaging, could aid in diagnosis.
造釉细胞瘤型和乳头型。乳头型颅咽管瘤在儿童中罕见，而肿瘤内合并垂体脓肿的情况更为罕见。在此，我们报告一例14岁男孩，患有乳头型颅咽管瘤并同时存在肿瘤内脓肿，因持续发热、多尿和烦渴入院。计算机断层扫描未发现钙化、弥散加权成像显示肿瘤内部高信号强度、以及发热、高炎症反应和脑膜炎等临床症状，以及影像学上的短期形态变化，有助于诊断。
