Nasal craniopharyngioma: case report and literature review
| Autor: | Ann Sandison, J C Magill, P.M. Clarke, M S Ferguson |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Biopsy medicine.medical_treatment Diagnosis Differential Craniopharyngioma Nasal Polyps medicine Humans Pituitary Neoplasms Sella Turcica Nose Adjuvant radiotherapy medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Radiation therapy Epistaxis Treatment Outcome Sella turcica medicine.anatomical_structure Otorhinolaryngology Female Radiotherapy Adjuvant Nasal Cavity Nasal Obstruction Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | The Journal of Laryngology & Otology. 125:517-519 |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | Objective:We report the first case in the English language literature of an adamantinomatous infrasellar craniopharyngioma, and we describe our management strategy.Case report:A 46-year-old woman presented with a six-month history of left-sided nasal obstruction and epistaxis. Rhinological examination revealed a left-sided, polypoidal lesion lying medial to the middle turbinate. An urgent examination under anaesthesia was organised; biopsies were considered characteristic of craniopharyngioma. Magnetic resonance imaging and computed tomography demonstrated a well defined, heterogeneous, infrasellar mass centred in the midline, extending anteriorly into the left nasal cavity and posteriorly encasing both internal carotid arteries. Craniofacial resection was performed via a midfacial degloving approach, with adjuvant radiotherapy. The patient was disease-free one year post-operatively.Conclusion:Craniopharyngiomas should be considered in the differential diagnosis of a unilateral nasal polyp. Although technically benign, they are locally aggressive. Therefore, we recommend complete excision with adjuvant radiotherapy if margins are involved or close. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|