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一个罕见部位的普通病例:一例脊髓背侧髓内皮样囊肿

A Commoner at an Extremely Rare Site: A Case of Dorsal Intramedullary Spinal Dermoid Cyst.

作者信息

Prachi Prachi, Aiyer Hema Malini, Sharma Gaurav, Shrivastav Ashish Kumar

机构信息

Department of Anatomic Pathology, Dharamshila Narayana Superspeciality Hospital and Research Centre, New Delhi, India.

Department of Neurosurgery and Neurointervention, Dharamshila Narayana Superspeciality Hospital and Research Centre, New Delhi, India.

出版信息

Asian J Neurosurg. 2023 Mar 31;18(1):219-222. doi: 10.1055/s-0043-1764326. eCollection 2023 Mar.

DOI:10.1055/s-0043-1764326
PMID:37056901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10089744/
Abstract

Intramedullary dorsal dermoid cysts are rare benign tumors, arising from the nests of embryonic ectoderm, which get buried or trapped under the lines of fusion of the ectodermal folds in the developing embryo. We present a rare case of intramedullary dermoid cyst in a 30-year-old asymptomatic female, who presented with paraplegia and ataxia. Magnetic resonance imaging was suggestive of neoplastic intramedullary mass. Intraoperatively, findings were suspicious of tuberculosis, but on final histopathological evaluation, the final and definitive diagnosis of intramedullary dermoid cyst was rendered. The postoperative phase was uneventful.

摘要

髓内背侧皮样囊肿是一种罕见的良性肿瘤,起源于胚胎外胚层巢,在发育中的胚胎中被埋入或困于外胚层褶皱融合线之下。我们报告一例罕见的30岁无症状女性髓内皮样囊肿病例,该患者出现截瘫和共济失调。磁共振成像提示髓内肿瘤性肿块。术中发现怀疑为结核病,但最终经组织病理学评估,确诊为髓内皮样囊肿。术后恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09fb/10089744/732c232db018/10-1055-s-0043-1764326-i2290010-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09fb/10089744/732c232db018/10-1055-s-0043-1764326-i2290010-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09fb/10089744/732c232db018/10-1055-s-0043-1764326-i2290010-1.jpg

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本文引用的文献

1
Mature cystic teratoma (dermoid cyst) in the sylvian fissure: a case report and review of the literature.大脑外侧裂成熟囊性畸胎瘤(皮样囊肿):一例病例报告并文献复习
J Child Neurol. 2012 Feb;27(2):211-7. doi: 10.1177/0883073811415681. Epub 2011 Dec 21.
2
INTRAMEDULLARY DERMOID CYST.
Ann Surg. 1938 Jan;107(1):107-15. doi: 10.1097/00000658-193801000-00012.
3
Congenital, ill-defined, yellowish plaque: the nasal dermoid.先天性、边界不清的淡黄色斑块:鼻皮样囊肿。
Pediatr Dermatol. 2006 Nov-Dec;23(6):556-9. doi: 10.1111/j.1525-1470.2006.00308.x.
4
Dorsal intramedullary dermoids.髓内背侧皮样囊肿。
Neurosurg Rev. 2005 Oct;28(4):320-5. doi: 10.1007/s10143-005-0382-9. Epub 2005 Mar 1.