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Sporadic pituitary stalk hemangioblastoma.

机译:散发性垂体柄血管母细胞瘤。

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Sir, A 49-year-old man was admitted with a 2-year history of progressive worsening headache, episodic vomiting, and incidental polydipsia and hyperuresis. There was no family history of von Hippel-Lindau (VHL) disease. The preoperative endocrinological pro?le was normal. Magnatic resonance imaging (MRI) revealed a 1.9-cm globular solid tumor in the suprasellar region [Figure 1]a-c. Total resection was performed via a right frontal-temporal craniotomy. The obviously enlarged edematous optic nerve was seen. The top and lateral sides of the tumor were easily peeled from the optic pathway and the wall of the third ventricle. The histological diagnosis was hemangioblastoma (HBL) [Figure 2]. The molestation of the pituitary stalk resulted in panhypopituitarism, which recovered after management with substitutive therapy after 6 months. There was no recurrence during a follow-up period of more than 3.5 years [Figure 1]d.
机译:主席先生,一名49岁男子入院,有2年进行性头痛加重发作,发作性呕吐,偶然性多尿和尿毒症的病史。没有von Hippel-Lindau(VHL)病的家族史。术前内分泌情况正常。磁共振成像(MRI)显示在上鞍区有一个1.9cm的球状实体瘤[图1] a-c。通过右额颞颞开颅术进行全切除。可见明显的水肿性视神经。肿瘤的顶部和侧面很容易从视神经通路和第三脑室壁剥离。组织学诊断为血管母细胞瘤(HBL)[图2]。垂体茎的骚扰导致全垂体功能减退,经6个月的替代治疗后恢复。在超过3.5年的随访期内无复发[图1] d。

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