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Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat

Usually occurring entirely intrasellarly or extending suprasellarly (intra-suprasellar), Rathke’s cleft cysts (RCCs) can present with an intrasphenoidal location. Extrasellar positions are rare. To date, only seven patients with intrasphenoidal RCC have been reported in the literature. Despite the r...

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Autores principales: De Sousa Machado, André, Silva, Ana, Silva, Jose, Brandão, José R, Meireles, Luís
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887545/
https://www.ncbi.nlm.nih.gov/pubmed/36733581
http://dx.doi.org/10.7759/cureus.33206
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author De Sousa Machado, André
Silva, Ana
Silva, Jose
Brandão, José R
Meireles, Luís
author_facet De Sousa Machado, André
Silva, Ana
Silva, Jose
Brandão, José R
Meireles, Luís
author_sort De Sousa Machado, André
collection PubMed
description Usually occurring entirely intrasellarly or extending suprasellarly (intra-suprasellar), Rathke’s cleft cysts (RCCs) can present with an intrasphenoidal location. Extrasellar positions are rare. To date, only seven patients with intrasphenoidal RCC have been reported in the literature. Despite the rarity of the condition and the lack of pathognomonic radiological features, preoperative diagnosis remains challenging. A trans-sphenoidal approach can be adopted to treat this type of cyst, which has great clinical relevance. Awareness of this different presentation of RCC before respective management may be of value in its approach. Intrasphenoidal RCC should be diagnosed preoperatively and the surgical approach should be changed accordingly by aspiration and partial removal before the histological examination.
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spelling pubmed-98875452023-02-01 Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat De Sousa Machado, André Silva, Ana Silva, Jose Brandão, José R Meireles, Luís Cureus Otolaryngology Usually occurring entirely intrasellarly or extending suprasellarly (intra-suprasellar), Rathke’s cleft cysts (RCCs) can present with an intrasphenoidal location. Extrasellar positions are rare. To date, only seven patients with intrasphenoidal RCC have been reported in the literature. Despite the rarity of the condition and the lack of pathognomonic radiological features, preoperative diagnosis remains challenging. A trans-sphenoidal approach can be adopted to treat this type of cyst, which has great clinical relevance. Awareness of this different presentation of RCC before respective management may be of value in its approach. Intrasphenoidal RCC should be diagnosed preoperatively and the surgical approach should be changed accordingly by aspiration and partial removal before the histological examination. Cureus 2023-01-01 /pmc/articles/PMC9887545/ /pubmed/36733581 http://dx.doi.org/10.7759/cureus.33206 Text en Copyright © 2023, De Sousa Machado et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
De Sousa Machado, André
Silva, Ana
Silva, Jose
Brandão, José R
Meireles, Luís
Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title_full Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title_fullStr Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title_full_unstemmed Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title_short Intrasphenoidal Rathke’s Cleft Cyst: An Uncommon Feat
title_sort intrasphenoidal rathke’s cleft cyst: an uncommon feat
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887545/
https://www.ncbi.nlm.nih.gov/pubmed/36733581
http://dx.doi.org/10.7759/cureus.33206
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