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小儿鞍区及鞍上表皮样囊肿的内镜下切除术:一例病例报告及文献复习

The Endoscopic Resection of Sellar and Suprasellar Epidermoid Cyst in a Pediatric Patient: A Case Report and Review of the Literature.

作者信息

Alhammad Othman, Joueidi Faisal, Aljohani Hanan N, Basurrah Abdulaziz A, Ansary Muhammad

机构信息

Neurosurgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

College of Medicine, Alfaisal University, Riyadh, SAU.

出版信息

Cureus. 2023 Dec 6;15(12):e50084. doi: 10.7759/cureus.50084. eCollection 2023 Dec.

Abstract

Epidermoid cysts are benign congenital tumors that originate from the ectodermal tissue. The sellar/suprasellar region is an infrequent location for epidermoid cysts and such cases are rarely reported in pediatric patients, as these become symptomatic only when they reach 30 years of age. Surgical intervention is considered the ideal treatment option in patients with suprasellar epidermoid cysts, either via open or endonasal approach. We discuss a case of a 12-year-old male who presented with left visual impairment and was treated with successful resection through an endoscopic endonasal approach (EEA). We also engage in a literature review of the use of EEA in the management of sellar/suprasellar epidermoid cysts in the pediatric age group.

摘要

表皮样囊肿是起源于外胚层组织的良性先天性肿瘤。鞍区/鞍上区是表皮样囊肿的罕见发病部位,儿科患者中此类病例鲜有报道,因为这些囊肿通常在30岁时才出现症状。对于鞍上表皮样囊肿患者,手术干预被认为是理想的治疗选择,可通过开放手术或鼻内镜入路进行。我们讨论了一例12岁男性患者,该患者出现左眼视力障碍,并通过鼻内镜下经鼻入路成功切除肿瘤。我们还对鼻内镜下经鼻入路在儿科鞍区/鞍上表皮样囊肿治疗中的应用进行了文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8141/10770576/025efe2c5df0/cureus-0015-00000050084-i01.jpg

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