症狀/併發症(symptom/complication) | symptom @adamntinomous type齒釉質瘤 @sometimes inasive @headache @visual impairment complication @giant size tumor may block third ventricle and hydrocephalis @cyst (full with liquid) usually occur after surgery complication @hypopituitarism usually occur after surgery @Diabetes insipidus(尿崩症) |
病因(etiology) | |slow growing benign epithelial tumor |benign histology and malignant behavior |derived from pituitary gland embryonic tissue (oral epithelial part, below Rathke's pouch) |
檢查/準則(examination/criteria) | # histology typing ##resemble adamantinomas (a kind of calcification)  資料來源：維基百科 ##Papillary craniopharyngioma ###solid with no cystic component #X ray: light  資料來源：維基百科 |
治療(treatment) | $surgery: relieve IICP $$Transsphenoidal approach $$surgery way $$$Radical removal: usually use craniotomy, for larger size $$$Subtotal removal, for small size $$$Partial removal: do not advise because low 5 years survival rate $radiotherapy: But, high complication rate $Chemotherapy: effect is no so well |
鑑別診斷(Differential Diagnosis) | |
流行病學(Epidemiology) | +15% of children brain tumor 50~60 years old is the second peak +Papillary craniopharyngioma often in adult +adamntinomous craniopharyngioma in all age |
Tuesday, October 8, 2013
craniopharyngioma(顱咽管瘤)
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment