| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-12-05 |
| タイトル |
|
|
タイトル |
Rathke Cleft Cyst with Entirely Ossified Cyst Wall and Partially Solid Cyst Content: A Case Report and Literature Review |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| ID登録 |
|
|
ID登録 |
10.24517/00014175 |
|
ID登録タイプ |
JaLC |
| 著者 |
Hayashi, Yasuhiko
Oishi, Masahiro
Fukui, Issei
Sasagawa, Yasuo
Harada, Ken-ichi
Nakada, Mitsutoshi
|
| 著者別表示 |
林, 康彦
笹川, 泰生
原田, 憲一
中田, 光俊
|
| 書誌情報 |
World Neurosurgery
巻 98,
p. 882.e15-882.e20,
発行日 2017-02-01
|
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1878-8750 |
| NCID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12725298 |
| DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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|
関連識別子 |
10.1016/j.wneu.2016.10.052 |
| 出版者 |
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出版者 |
Elsevier |
| 抄録 |
|
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内容記述タイプ |
Abstract |
|
内容記述 |
Background: In Rathke cleft cysts (RCCs), inflammation by the cyst contents infrequently spreads to the surrounding structures. Calcification, which is regarded as a result of chronic inflammation of the cyst wall, can rarely be found in RCCs. Moreover, ossification is extremely rare. Case Description: A 60-year-old woman experienced headaches, fatigue, and weight loss owing to pan-hypopituitarism. Magnetic resonance imaging revealed a mass lesion in the sellar region, which was composed of two different parts, with hypointensity anteriorly and hyperintensity posteriorly on T1-weighted image, and the rim with significant hypointensity entirely on T2-weighted image. During the transsphenoidal surgery, the cyst wall was so rigid that it was difficult to cut and remove it. The cyst contained mucinous fluid with both old and new hemorrhages, and a yellowish, elastic hard, solid nodule. Postoperative histologic diagnosis was RCC with unusual lymphocyte infiltration, massive granulation, and mature bone formation. Six months later, the fluid in the cyst reaccumulated, and the patient complained of headaches. Removal of the entire cyst wall and the aspiration of the cyst content were performed to collapse the cyst cavity and, consequently, to prevent further recurrence. Postoperatively, panhypopituitarism was unchanged and the symptoms were treated with hormonal replacement. The cyst has not recurred for 2 years after the second surgery. Conclusions: Persistent, long-term inflammation induced by the RCC content, mucin-containing fluid, and several phases of hemorrhage presumably promoted the formation of mature bone on the cyst wall and of the elastically solid nodule within the cyst. © 2016 Elsevier Inc. |
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
Embargo Period 12 months |
| 権利 |
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|
権利情報 |
Copyright © Elsevier(CC-BY NC ND) |
| 著者版フラグ |
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出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連URI |
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|
識別子タイプ |
URI |
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|
関連識別子 |
http://www.elsevier.com/locate/issn/18788750 |
ME-PR-HAYASHI-Y-882.pdf (335.0 kB)
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