of Craniopharyngioma After External Radiotherapy and Intracapsular Radiochemotherapy


Fig. 8.1

This is the case of a patient with Q-type craniopharyngioma who had received intra-cyst irradiation therapy after subtotal resection surgery at a local hospital. Tumor recurrence was found 18 months after the first surgery, and preoperative examination revealed severe hypothalamic obesity and panhypopituitarism. During the operation, we found that the tumor adhered to the pituitary and hypothalamus severely.Tissue section confirmed vast infiltration of inflammatory cells. (a, b) Preoperative radiological images. (c) Intraoperative images showing tumor’s adhesion to the neural tissue. (d, e) Postoperative MRI images confirm the gross total resection. (f) Tissue section of the tumor (H&E stain, 20 × 20). The invasion of the pituitary could be observed at the boundary of the tumor sample, as well as the infiltration of inflammatory cells


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Fig. 8.2

This is the case of a patient with an S-type craniopharyngioma who had received intra-cyst irradiation therapy after subtotal resection surgery at a local hospital. Tumor recurrence was found 15 months after the first surgery and preoperative examination revealed panhypopituitarism. During the operation, we found that the tumor adhered to pituitary stalk and optic nerve severely. Tissue section confirmed vast infiltration of inflammatory cells. (a, b) Preoperative radiological images. (c, d) Intraoperative images showing the tumor’s adhesion to the pituitary and optic nerve. (e, f) Postoperative MRI images confirm the gross total resection. (g, h) Tissue section of the tumor (H&E stain, 20 × 20). The invasion of the pituitary could be observed at the boundary of the tumor sample, as well as the infiltration of inflammatory cells

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Mar 25, 2020 | Posted by in NEUROSURGERY | Comments Off on of Craniopharyngioma After External Radiotherapy and Intracapsular Radiochemotherapy
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