随着症状的消失,RCC的自发和无症状破裂
Maaria Chaudhry1, Kathleen Botterbush2, Justin K Zhang3
1Department of Neurosurgery, Saint Louis University Hospital, St. Louis, Missouri, USA maariaaisha@gmail.com.
BMJ case reports
|March 12, 2024
概括
患有内分泌功能障碍的老年人Rathke裂囊 (RCCs) 可以保守地管理. 连续MRI监测显示,80岁的病人自发回归,这表明一种不那么侵入性的方法是可行的.
科学领域:
- 神经内分泌学神经内分泌学
- 神经外科 神经外科
背景情况:
- 拉特克裂囊 (RCCs) 缺乏标准化的管理方案,特别是自发破裂或残留碎片.
- 对RCC的保守管理策略,特别是那些表现为内分泌功能障碍的RCC,并不成熟.
研究的目的:
- 介绍一个关于Rathke裂囊 (RCC) 与相关内分泌功能障碍的保守管理的案例研究.
- 评估基于连续成像的监测在管理具有荷尔蒙失衡的RCC的有效性.
主要方法:
- 一个老年男性患者的病例报告显示,他出现了双直视和内分泌功能障碍的症状.
- 磁共振成像 (MRI) 用于诊断和连续监测细胞质量.
- 由于细微的手术指示和患者的晚年,选择了连续MRI随访的保守管理.
主要成果:
- 一个大的细胞同质质量 (1.6×1.5×1.3厘米) 与超细胞延伸在最初的MRI上被确定.
- 在3年的时间里,RCC自发回归.
- 患者在4年随访期间仍然无症状,没有任何图像证据表明复发,尽管最初的内分泌功能障碍.
结论:
- 用连续成像进行保守的管理可能是拉特克裂囊 (RCC) 呈现内分泌功能障碍的可行选择,特别是在老年患者或具有微妙外科指示的患者中.
- 这一案例凸显了RCC自发回归的潜力以及个性化治疗方法的重要性.
- 需要进一步的研究,以建立基于证据的指导方针来管理内分泌功能障碍的RCC.
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