Endoscopic resection of sellar and suprasellar epidermoid cyst: report of two cases and review of literature.

Autor:	Vellutini EAS; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Pahl FH; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Stamm AEC; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.; Center of Otorhinolaryngology and Speech and Hearing Therapy of São Paulo, São Paulo, Brazil., Teles Gomes MQ; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., de Oliveira MF; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Martins HO; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Ruschel LG; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	British journal of neurosurgery [Br J Neurosurg] 2024 Apr; Vol. 38 (2), pp. 361-366. Date of Electronic Publication: 2021 Feb 01.
DOI:	10.1080/02688697.2021.1877610
Abstrakt:	Introduction: Epidermoid cysts (EC) are lesions developing from neuroectodermal epithelial cells. They represent 1-2% of all intracranial tumors and are usually found in cerebellopontine angle and parasellar regions. To the best of our knowledge, only 27 cases have been reported of EC in sellar and suprasellar region. In 12 cases out of the 27, surgery was done by craniotomy means. The 7 most recent manuscripts (with 15 patients described) share in common the use of endoscopic endonasal approach (EEA) to perform surgical removal. Results: In this paper, we report the safe removal of epidermoid cysts arising from the pituitary using an EEA in two patients, which should be the sixth such description in literature. In both cases, resection and evolution was favourable. Discussion: Surgical resection is the treatment standard for epidermoid cysts, with total resection including the cyst wall to prevent recurrence when possible. The degree of resection obtained is limited by adherence to nearby neural and vascular structures. The advent of EEA approaches has allowed safe maximal resection especially in midline lesions nearby sellar and suprasellar compartiments.
Databáze:	MEDLINE
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