CUSHING DISEASE ASSOCIATED WITH RATHKE'S CLEFT CYST

被引:1
作者
Berker, D. [1 ]
Aydin, Y. [2 ]
Isik, S. [1 ]
Soylemezoglu, F. [3 ]
Tutuncu, Y. [1 ]
Berker, M. [4 ]
Delibasi, T. [5 ]
Guler, S. [1 ]
机构
[1] Ankara Numune Training & Res Hosp, Dpt Endocrinol & Metab, Ankara, Turkey
[2] Duzce Univ, Fac Med, Dpt Endocrinol & Metab, Ankara, Turkey
[3] Hacettepe Univ, Sch Med, Dpt Pathol, Ankara, Turkey
[4] Hacettepe Univ, Sch Med, Dpt Neurosurg, Ankara, Turkey
[5] Diskapi Yildirim Beyazit Res & Training Hosp, Dpt Endocrinol & Metab, Ankara, Turkey
关键词
Rathke's cleft cyst; Cushing disease; PITUITARY-ADENOMA; FEATURES; TUMORS;
D O I
10.4183/aeb.2010.371
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. Co-existence of Cushing disease and Rathke's cleft cyst (RCC) has been reported in a few cases in the literature so far. We herein describe a rare condition of Cushing disease that might originate from epithelium of RCC. Case. A 48-year-old woman was admitted to the hospital with complaints of headache, weakness, and weight gain. The patient underwent endoscopic transsphenoidal surgery due to Cushing disease. Histopathological examination revealed cyst contents and walls compatible with RCC, and normal adenohypophysis and neurohypophysis tissues. Immunohistochemical stainings with ACTH, GH, and prolactin were positive on the epithelium of the cyst. Conclusion. In our case, Cushing disease might he associated with hormonal activity derived from cyst wall of RCC or disappearance of a small microadenoma during surgical or pathological processing. According to the recent data, origin of this lesion and histogenetic link between RCC with Cushing disease could not be explained.
引用
收藏
页码:371 / 376
页数:6
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