Complete resection of a giant epidermoid cyst of the occipital bone: case report and systematic review.

Q1 Medicine CNS Oncology Pub Date : 2024-12-31 Epub Date: 2024-11-19 DOI:10.1080/20450907.2024.2415279
Ishwarya Nair, Adrian Zammit, Timothy Williamson, Ananthababu Pattavilakom Sadasivan
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引用次数: 0

Abstract

Epidermoid cysts are uncommon accounting for less than 1% of all intracranial tumors. Among them, giant intradiploic epidermoid cysts of the posterior fossa i.e. those exceeding 5 cm are an even rarer entity. Here we report on the complete resection of a 7 cm posterior fossa epidermoid cyst involving the occipital bone in a 32-year-old female presenting with an acute on chronic exacerbation of headaches and vertigo. Complete resection including the cyst wall is crucial in preventing recurrence and malignant transformation. We add to limited existing data by reporting on the first systematic review to date assessing 25 cases of giant epidermoid cysts of the posterior fossa to discuss presentation, clinical and radiographic features and definitive management strategies.

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完全切除枕骨巨大表皮样囊肿:病例报告和系统综述。
表皮样囊肿并不常见,在所有颅内肿瘤中占比不到 1%。其中,后窝巨大蝶鞍内表皮样囊肿(即超过5厘米的囊肿)更为罕见。在此,我们报告了对一名累及枕骨的 7 厘米后窝表皮样囊肿的完全切除,患者是一名 32 岁女性,头痛和眩晕由急性转为慢性加重。包括囊壁在内的完整切除对于防止复发和恶变至关重要。我们报告了迄今为止第一篇系统性综述,评估了 25 例后窝巨大表皮样囊肿病例,讨论了其表现、临床和影像学特征以及明确的治疗策略,为有限的现有数据增添了新的内容。
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来源期刊
CNS Oncology
CNS Oncology Medicine-Neurology (clinical)
CiteScore
3.80
自引率
0.00%
发文量
12
审稿时长
13 weeks
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