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  1. Dokkyo Medical Journal
  2. 1(4) 2022

Endoscopic Endonasal Surgery for Suprasellar Rathke's Cleft Cyst Mimicking a Dermoid Cyst

https://dmu.repo.nii.ac.jp/records/5364
https://dmu.repo.nii.ac.jp/records/5364
638f4fbe-ff1f-4ea7-b48e-4fdcc8fd9714
名前 / ファイル ライセンス アクション
DKMJ-1-4-10.pdf DKMJ-1-4-Morinaga-Fulltext (1.2 MB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Endoscopic Endonasal Surgery for Suprasellar Rathke's Cleft Cyst Mimicking a Dermoid Cyst
言語
言語 eng
キーワード
主題 dermoid cyst
キーワード
主題 endoscopic endonasal surgery
キーワード
主題 Rathke's cleft cyst
キーワード
主題 suprasellar cyst
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Morinaga, Yusuke

× Morinaga, Yusuke

WEKO 47308

en Morinaga, Yusuke

Search repository
Kino, Hiroyoshi

× Kino, Hiroyoshi

WEKO 47309

en Kino, Hiroyoshi

Search repository
Tanaka, Shuho

× Tanaka, Shuho

WEKO 47310

en Tanaka, Shuho

Search repository
Miyamoto, Hidetaka

× Miyamoto, Hidetaka

WEKO 47311

en Miyamoto, Hidetaka

Search repository
Akutsu, Hiroyoshi

× Akutsu, Hiroyoshi

WEKO 46785

en Akutsu, Hiroyoshi

Search repository
著者所属
Department of Neurosurgery, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
著者所属
Department of Otolaryngology, Faculty of Medicine, University of Tsukuba
著者所属
Department of Otolaryngology, Faculty of Medicine, University of Tsukuba
著者所属
Department of Neurosurgery, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 4, p. 344-350, 発行日 2022-12
抄録
内容記述タイプ Abstract
内容記述 The differential diagnoses of cystic epithelial masses in the sellar and parasellar regions, when based on clinical findings, imaging, and even histopathological examination, can be challenging. Considerable evidence in the literature supports the existence of a common ectodermal origin of selected sellar and suprasellar cysts, which may account for the overlap of radiological features and pathological transitional states observed among these lesions. Here, we describe a case of suprasellar Rathke's cleft cyst (RCC) mimicking a dermoid cyst, which after successful removal by endoscopic endonasal surgery (EES) by an experienced team of neurosurgeons and otolaryngologists achieved a good clinical outcome. A 30-year-old male was referred with chief complaints of left-sided loss of vision and headache. Magnetic resonance imaging findings indicated possible diagnoses as RCC, craniopharyngioma, or dermoid cyst because the cyst partly contained fluid with a lipid signal. The cyst was resected en-bloc with EES, and the histopathological diagnosis was RCC. RCCs may contain lipid components within the cyst, presumed to be cholesterin crystals due to chronic inflammation. In preoperative imaging of suprasellar cystic lesions, the presence of lipid components in the cyst may not indicate dermoid cyst, and care should be taken to differentiate it from RCC or craniopharyngioma.
記事種別
Case Report
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-017
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