Behrens P, Ostertag C B
Abteilung Stereotaktische Neurochirurgie, Neurochirurgische Universitätsklinik Freiburg.
Fortschr Neurol Psychiatr. 1993 Aug;61(8):284-9. doi: 10.1055/s-2007-999096.
Benign large pineal cysts are rare lesions and sometimes difficult to distinguish from neoplastic cysts of the pineal region. Seven patients with cysts of the pineal region (1.5-2 cm diameter), treated stereotactically were identified by retrospective chart review. In all patients the cyst wall and contents were subjected to histopathological examination. In 2 patients stereotactic operation showed that secondary (neoplastic) cysts were ruled out. In 5 patients with symptomatic pineal cysts the stereotactic evacuation led to clinical recovery or marked improvement (mean follow-up 20 months). The previous literature is reviewed, aetiology, diagnostic work up and therapy discussed. We prefer the stereotactic management of cysts of the pineal region because it allows histological distinction of benign cysts from secondary cysts and is a safe, minimal invasive procedure.
良性松果体大囊肿是罕见病变，有时难以与松果体区肿瘤性囊肿相鉴别。通过回顾性病历审查，确定了7例接受立体定向治疗的松果体区囊肿患者（直径1.5 - 2厘米）。对所有患者的囊肿壁和内容物进行了组织病理学检查。2例患者经立体定向手术表明可排除继发性（肿瘤性）囊肿。5例有症状的松果体囊肿患者经立体定向囊肿排空后实现了临床康复或显著改善（平均随访20个月）。回顾了既往文献，讨论了病因、诊断检查和治疗方法。我们更倾向于对松果体区囊肿进行立体定向治疗，因为它能在组织学上区分良性囊肿与继发性囊肿，且是一种安全、微创的手术。
