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Rathke's cleft cyst with xanthogranulomatous change--case report.
Neurol Med Chir (Tokyo). 2011; 51(10):740-2.NM

Abstract

A 58-year-old man presented with a rare case of Rathke's cleft cyst (RCC) manifesting as headache and visual disturbance. Goldman's perimeter showed he had bitemporal hemianopia. Magnetic resonance imaging revealed a solid intrasellar lesion. He underwent surgery via a right pterional approach. The lesion was red, solid, and fibrous. Histological examination revealed a few columnar epithelial cells with poor cilia in a xanthogranulomatous lesion. Only 13 cases of RCC with granulomatous change have been diagnosed by pathological examination, including 4 xanthogranulomatous cases. Xanthogranuloma of the sellar region is relatively rare. The etiology is still unknown. We speculate that xanthogranulomas of the sellar region may be caused by reaction to the presence of RCC.

Authors+Show Affiliations

Miyajima Y
Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, Japan. y_miya@fc4.so-net.ne.jp
Oka H
No affiliation info available
Utsuki S
No affiliation info available
Fujii K
No affiliation info available

MeSH

Central Nervous System CystsCraniotomyHead Injuries, ClosedHumansMaleMiddle AgedOptic ChiasmPostoperative ComplicationsSella TurcicaTreatment OutcomeXanthogranuloma, Juvenile

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22027255

Citation

Miyajima, Yoshiteru, et al. "Rathke's Cleft Cyst With Xanthogranulomatous Change--case Report." Neurologia Medico-chirurgica, vol. 51, no. 10, 2011, pp. 740-2.
Miyajima Y, Oka H, Utsuki S, et al. Rathke's cleft cyst with xanthogranulomatous change--case report. Neurol Med Chir (Tokyo). 2011;51(10):740-2.
Miyajima, Y., Oka, H., Utsuki, S., & Fujii, K. (2011). Rathke's cleft cyst with xanthogranulomatous change--case report. Neurologia Medico-chirurgica, 51(10), 740-2.
Miyajima Y, et al. Rathke's Cleft Cyst With Xanthogranulomatous Change--case Report. Neurol Med Chir (Tokyo). 2011;51(10):740-2. PubMed PMID: 22027255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rathke's cleft cyst with xanthogranulomatous change--case report. AU - Miyajima,Yoshiteru, AU - Oka,Hidehiro, AU - Utsuki,Satoshi, AU - Fujii,Kiyotaka, PY - 2011/10/27/entrez PY - 2011/10/27/pubmed PY - 2012/8/23/medline SP - 740 EP - 2 JF - Neurologia medico-chirurgica JO - Neurol Med Chir (Tokyo) VL - 51 IS - 10 N2 - A 58-year-old man presented with a rare case of Rathke's cleft cyst (RCC) manifesting as headache and visual disturbance. Goldman's perimeter showed he had bitemporal hemianopia. Magnetic resonance imaging revealed a solid intrasellar lesion. He underwent surgery via a right pterional approach. The lesion was red, solid, and fibrous. Histological examination revealed a few columnar epithelial cells with poor cilia in a xanthogranulomatous lesion. Only 13 cases of RCC with granulomatous change have been diagnosed by pathological examination, including 4 xanthogranulomatous cases. Xanthogranuloma of the sellar region is relatively rare. The etiology is still unknown. We speculate that xanthogranulomas of the sellar region may be caused by reaction to the presence of RCC. SN - 1349-8029 UR - https://www.unboundmedicine.com/medline/citation/22027255/Rathke's_cleft_cyst_with_xanthogranulomatous_change__case_report_ DB - PRIME DP - Unbound Medicine ER -