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经颅咽管瘤的组织病理学之旅:一例报告

A Histopathological Journey Through Adamantinomatous Craniopharyngioma: A Case Report.

作者信息

Girepunje Ankit, Hiwale K M, Agrawal Anil K, Naseri Suhit, Paramba Tanisha

机构信息

Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Pharmacology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 1;16(8):e65917. doi: 10.7759/cureus.65917. eCollection 2024 Aug.

Abstract

Craniopharyngiomas are rare benign neoplasms of epithelial origin. Usually located in the sellar and suprasellar regions, they typically present with symptoms of mass effect, raised intracranial tension, or endocrinological aberrations. Atypical presentations without these symptoms often delay diagnosis and worsen patient prognostic outcome, while timely diagnosis without these symptoms is essential for patient beneficence. Below, we present a case of an adamantinomatous craniopharyngioma in a 50-year-old female with minimal and non-specific symptoms. Radiographic imagining reported the presence of a cystic lesion in the sellar, suprasellar, and parasellar regions before the surgical excision. The patient was informed and a decision was made to undergo surgical resection of the mass lesion. The postoperative histopathologic study confirmed the neoplasm to be an adamantinomatous craniopharyngioma.

摘要

颅咽管瘤是一种罕见的上皮源性良性肿瘤。通常位于鞍区和鞍上区,典型表现为占位效应、颅内压升高或内分泌异常症状。无这些症状的非典型表现常导致诊断延迟并使患者预后恶化,而无这些症状时及时诊断对患者有益。下面,我们报告一例50岁女性的造釉细胞瘤型颅咽管瘤,其症状轻微且不具特异性。术前影像学检查报告在鞍区、鞍上区和鞍旁区域存在囊性病变。患者被告知情况后,决定对肿块进行手术切除。术后组织病理学研究证实该肿瘤为造釉细胞瘤型颅咽管瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/11364980/c70d0c578380/cureus-0016-00000065917-i01.jpg

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