论文部分内容阅读
颅咽管瘤是起源于颅颊囊(Rathke’s Pouch)残留上皮的肿瘤,为鞍区常见良性肿瘤之一。颅咽管瘤癌变或恶性颅咽管瘤极为少见。本院曾收治1例,并经两次手术及病理证实,现报道如下。 患者女性,19岁,因头痛、月经失调14月,视力减退 6月余,于1973年10月9日第一次入院。主诉:阵发性头痛,尤在低头或下蹲时加剧,严重时可呕吐。同时月经周期紊乱。入院前半年来自觉右眼视物模糊,不久出现视野双颞侧偏盲,X线头颅平片显示蝶鞍后床突偏短。小剂量气脑造影示导水管明显上抬,第三脑室前下受压;轻度向后移位,蝶鞍部后床突骨质吸收。考虑为颅咽管瘤。10月23日行肿瘤切除术,见肿瘤由鞍内长至鞍上,压迫视神经交
Craniopharyngioma is a tumor originated from the residual epithelium of the skull pouch (Rathke’s Pouch) and one of the common benign tumors in the saddle area. Craniopharyngioma cancerous or malignant craniopharyngioma is extremely rare. This hospital has admitted a case, and confirmed by two surgeries and pathology, are reported below. Female patient, 19 years old, due to headache, menstrual disorders in 14 months, vision loss more than 6 months, on October 9, 1973 first admission. Chief Complaint: Paroxysmal headache, especially when bowed or squatting intensified, severe vomiting. Menstrual cycle at the same time disorder. In the first half of admission, the visual perception of the right eye was blurred. Shortly after surgery, bilateral temporal hemianopsia appeared. A small dose of pneumoperitoneum showed a clear elevation of the guiding tube, the third ventricle before the next compression; slightly backward shift, sella mass after the sellae. Considered as craniopharyngioma. October 23 line tumor resection, see the tumor from the saddle to the saddle, the oppression of the optic nerve