Ko Min Chul, Kim Jung Soo, Kim Mee-Seon, Heo Sung Jae
Department of Otorhinolaryngology-Head and Neck Surgery; and.
Department of Pathology, School of Medicine, Kyungpook National University, Daegu, South Korea.
J Craniofac Surg. 2022;33(5):e537-e538. doi: 10.1097/SCS.0000000000008660. Epub 2022 Jun 28.
Craniopharyngioma is rare epithelial tumor that develops along the craniopharyngeal duct, and most of these tumors occur in the sellar and suprasellar regions. Although it rarely occurs in the extracranial region, sphenoid solitary lesions were not reported in previous literature. In this study, we report a case of infrasellar craniopharyngioma within the sphenoid sinus without intracranial lesion. A patient with intermittent headache visited a private clinic and presented with sphenoid lesions based on the Magnetic resonance imaging scan results. The mass was completely removed using endoscopic endonasal transsphenoidal approach without any complications and showed characteristic pathologic findings, which lead to the diagnosis of craniopharyngioma.
颅咽管瘤是一种沿颅咽管发生的罕见上皮性肿瘤,这些肿瘤大多发生在鞍区和鞍上区。虽然它很少发生在颅外区域,但以往文献中未报道过蝶窦孤立性病变。在本研究中,我们报告一例蝶窦内鞍下颅咽管瘤且无颅内病变的病例。一名间歇性头痛患者前往一家私人诊所就诊,根据磁共振成像扫描结果发现蝶窦病变。采用鼻内镜经蝶窦入路将肿物完全切除,无任何并发症,且显示出特征性病理表现,从而确诊为颅咽管瘤。