A Rathke's Cleft Cyst with Chronic Inflammation Mimicking a Pituitary Macroadenoma

거대 선종으로 오인된 만성 염증을 동반한 Rathke's Cleft Cyst: 증례 보고

  • Choo, Ka-Yeon (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Choi, Hyun-Seok (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jung, So-Lyung (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Bum-Soo (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jeun, Sin-Soo (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Hong, Yong-Kil (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ahn, Kook-Jin (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 추가연 (가톨릭대학교 의과대학 서울성모병원 영상의학과학교실) ;
  • 최현석 (가톨릭대학교 의과대학 서울성모병원 영상의학과학교실) ;
  • 정소령 (가톨릭대학교 의과대학 서울성모병원 영상의학과학교실) ;
  • 김범수 (가톨릭대학교 의과대학 서울성모병원 영상의학과학교실) ;
  • 전신수 (가톨릭대학교 의과대학 서울성모병원 신경외과학교실) ;
  • 홍용길 (가톨릭대학교 의과대학 서울성모병원 신경외과학교실) ;
  • 안국진 (가톨릭대학교 의과대학 서울성모병원 영상의학과학교실)
  • Published : 2011.11.01

Abstract

Rathke's cleft cyst is a benign cystic lesion arising in the sellar or suprasellar region. Most cases of Rathke's cleft cysts are thin-walled cystic lesions, but in rare cases, can cause a pituitary abscess by inflammation or infection. We report on a case of Rathke's cleft cyst with chronic inflammation mimicking a pituitary macroadenoma seen as a thick-walled irregular cystic lesion on brain CT and MRI.

라트케씨 낭종(Rathke's cleft cysts)은 터키안이나 터키안 주위에서 발생하는 양성 낭성 병변으로 Rathke's cleft의 잔유물이다. 라트케씨 낭종은 일반적으로 얇은 막으로 둘러싸인 양성 병변이지만 매우 드물게 염증 반응을 일으키거나 감염에 의해 뇌하수체 농양을 형성할 수 있다. 저자들은 뇌 전산화단층촬영과 자기공명영상에서 조영증강이 되는 두꺼운 벽을 가진 낭성 병변으로 보여 뇌하수체 거대 선종으로 오인되었던 농양을 형성한 라트케씨 낭종을 경험하였기에 이를 보고하고자 한다.

Keywords

References

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