中国现代神经疾病杂志 ›› 2024, Vol. 24 ›› Issue (9): 701-705. doi: 10.3969/j.issn.1672-6731.2024.09.002

• 标准与指南 • 上一篇    下一篇

2 颅咽管瘤分型

孙澎, 周马丁, 刘雨桐, 杜建新, 曾高*()   

  1. 100053 北京, 首都医科大学宣武医院神经外科
  • 收稿日期:2024-08-28 出版日期:2024-09-25 发布日期:2024-10-10
  • 通讯作者: 曾高

Classification of craniopharyngioma

Peng SUN, Ma-ding ZHOU, Yu-tong LIU, Jian-xin DU, Gao ZENG*()   

  1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2024-08-28 Online:2024-09-25 Published:2024-10-10
  • Contact: Gao ZENG

摘要:

颅咽管瘤是常见的颅内良性肿瘤,可能起源于垂体柄任何部位。肿瘤的不同起源部位与其生长模式相关,也与肿瘤与鞍上及周围神经血管结构之间的关系相关。目前针对颅咽管瘤有多种不同的分型方式,依据肿瘤起源部位、解剖部位、影像学特征等。本文通过回顾总结不同颅咽管瘤的分型方式,尝试探究肿瘤起源、生长模式、影像学特点及其与微观结构之间的关系;通过影像学特点分析肿瘤起源,判断其与周围组织的粘连情况,以指导手术方式及判断预后。

关键词: 颅咽管瘤, 垂体, 下丘脑, 神经解剖学, 综述

Abstract:

Craniopharyngioma is a kind of common benign intracranial tumor. Craniopharyngioma may originate anywhere in the pituitary stalk. The different origin sites of the tumor are related to its growth pattern, and the relationship between tumor and the suprasellar structures including vessels and nerves. At present, there are many different classifications of craniopharyngioma, which based on the origin of the tumor, anatomical location, and imaging characteristics. By reviewing and analyzing different classifications of craniopharyngioma, we attempt to analyze the relationship between tumor origin, growth pattern, imaging characteristics and microstructure. It was attempted to analyze the tumor origin and determine the adhesion with the surrounding structures by imaging characteristics, so as to guide the surgical method and prognosis.

Key words: Craniopharyngioma, Pituitary gland, Hypothalamus, Neuroanatomy, Review