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Ectopic recurrence craniopharyngioma: series report and literature review

BACKGROUND: Craniopharyngioma is a common intracranial tumor located in the sellar-suprasellar region. Due to the involvement of adjacent structures, it can lead to increased intracranial pressure, visual impairment, and endocrine deficiencies. Surgical resection is the primary treatment, but it is...

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Autores principales: Ji, Chenxing, Cheng, Haixia, Zhou, Xiang, Cao, Xiaoyun, Qiao, Nidan, Shi, Chengzhang, Zhang, Yichao, Ye, Zhao, Zhao, Yao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163818/
https://www.ncbi.nlm.nih.gov/pubmed/37147737
http://dx.doi.org/10.1186/s41016-023-00326-3
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author Ji, Chenxing
Cheng, Haixia
Zhou, Xiang
Cao, Xiaoyun
Qiao, Nidan
Shi, Chengzhang
Zhang, Yichao
Ye, Zhao
Zhao, Yao
author_facet Ji, Chenxing
Cheng, Haixia
Zhou, Xiang
Cao, Xiaoyun
Qiao, Nidan
Shi, Chengzhang
Zhang, Yichao
Ye, Zhao
Zhao, Yao
author_sort Ji, Chenxing
collection PubMed
description BACKGROUND: Craniopharyngioma is a common intracranial tumor located in the sellar-suprasellar region. Due to the involvement of adjacent structures, it can lead to increased intracranial pressure, visual impairment, and endocrine deficiencies. Surgical resection is the primary treatment, but it is a tough challenge to achieve total resection, which will led to the frequency of recurrences and progressions. Among them, distant spread is extremely rare, but important complication, identifying and providing proper therapy, is crucial. METHODS: We report two cases of ectopic recurrence craniopharyngioma and make a literature review for the published similar case reports. RESULTS: Our literature review revealed 63 cases (including our patient). The onset age in children group and adult group ranges from 2–14 years old (6.70 ± 3.33) to 17–73 years old (40.63 ± 15.58), while the interval year between tumor initiation and ectopic recurrence ranges from 0.17–20 (7.28 ± 6.76) years to 0.3–34 (6.85 ± 7.29). Achieving gross total resection seems not to prevent the ectopic recurrence. The major pathology of ectopic recurrence craniopharyngioma is adamantinomatous type. The most common site of ectopic recurrence is frontal lobe. According to the pathogenesis, 35 cases were seeding along the surgical approach, and 28 cases were seeding via the CSF pathway. CONCLUSION: Ectopic recurrence craniopharyngioma is rare, but it can lead to serious symptoms. Delicate surgical procedure can help to reduce the risk of ectopic recurrence, and standardized follow-up can provide valuable information for treatment.
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spelling pubmed-101638182023-05-07 Ectopic recurrence craniopharyngioma: series report and literature review Ji, Chenxing Cheng, Haixia Zhou, Xiang Cao, Xiaoyun Qiao, Nidan Shi, Chengzhang Zhang, Yichao Ye, Zhao Zhao, Yao Chin Neurosurg J Case Report BACKGROUND: Craniopharyngioma is a common intracranial tumor located in the sellar-suprasellar region. Due to the involvement of adjacent structures, it can lead to increased intracranial pressure, visual impairment, and endocrine deficiencies. Surgical resection is the primary treatment, but it is a tough challenge to achieve total resection, which will led to the frequency of recurrences and progressions. Among them, distant spread is extremely rare, but important complication, identifying and providing proper therapy, is crucial. METHODS: We report two cases of ectopic recurrence craniopharyngioma and make a literature review for the published similar case reports. RESULTS: Our literature review revealed 63 cases (including our patient). The onset age in children group and adult group ranges from 2–14 years old (6.70 ± 3.33) to 17–73 years old (40.63 ± 15.58), while the interval year between tumor initiation and ectopic recurrence ranges from 0.17–20 (7.28 ± 6.76) years to 0.3–34 (6.85 ± 7.29). Achieving gross total resection seems not to prevent the ectopic recurrence. The major pathology of ectopic recurrence craniopharyngioma is adamantinomatous type. The most common site of ectopic recurrence is frontal lobe. According to the pathogenesis, 35 cases were seeding along the surgical approach, and 28 cases were seeding via the CSF pathway. CONCLUSION: Ectopic recurrence craniopharyngioma is rare, but it can lead to serious symptoms. Delicate surgical procedure can help to reduce the risk of ectopic recurrence, and standardized follow-up can provide valuable information for treatment. BioMed Central 2023-05-06 /pmc/articles/PMC10163818/ /pubmed/37147737 http://dx.doi.org/10.1186/s41016-023-00326-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Ji, Chenxing
Cheng, Haixia
Zhou, Xiang
Cao, Xiaoyun
Qiao, Nidan
Shi, Chengzhang
Zhang, Yichao
Ye, Zhao
Zhao, Yao
Ectopic recurrence craniopharyngioma: series report and literature review
title Ectopic recurrence craniopharyngioma: series report and literature review
title_full Ectopic recurrence craniopharyngioma: series report and literature review
title_fullStr Ectopic recurrence craniopharyngioma: series report and literature review
title_full_unstemmed Ectopic recurrence craniopharyngioma: series report and literature review
title_short Ectopic recurrence craniopharyngioma: series report and literature review
title_sort ectopic recurrence craniopharyngioma: series report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163818/
https://www.ncbi.nlm.nih.gov/pubmed/37147737
http://dx.doi.org/10.1186/s41016-023-00326-3
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