Ectopic recurrence of craniopharyngioma along the surgical route: case report and literature review.
We present a 22-year-old woman with an ectopic recurrence of a craniopharyngioma. The patient presented first with a visual field deficit, and a craniopharyngioma was removed via an interhemispheric transcallosal approach. Magnetic resonance imaging (MRI) performed at 1 month, and then at 1 year after surgery showed complete removal of the lesion. However, at 4 years, MRI showed the presence of a small tumor in the right medial frontal lobe attached to the falx and along the previous surgical route. We present possible explanations for the ectopic recurrence and literature review.
Romani
Rossana
R
Department of Neurosurgery, Helsinki University Central Hospital, Topeliuksenkatu 5, Helsinki 00260, Finland. rossana.romani@hus.fi
Niemelä
Mika
M
Celik
Ozgür
O
Isarakul
Puchong
P
Paetau
Anders
A
Hernesniemi
Juha
J
D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery; D002828:Choristoma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D003337:Corpus Callosum / Q000033:anatomy & histology / Q000601:surgery; D003397:Craniopharyngioma / Q000556:secondary* / Q000601:surgery; D004388:Dura Mater / Q000473:pathology / Q000601:surgery; D005260:Female; D005625:Frontal Lobe / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009362:Neoplasm Metastasis / Q000473:pathology / Q000628:therapy; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D009366:Neoplasm Seeding; D019635:Neurosurgical Procedures; D010902:Pituitary Gland / Q000473:pathology / Q000601:surgery; D010911:Pituitary Neoplasms / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D012658:Sella Turcica / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult