鞍区海绵状血管瘤误诊为侵袭性垂体瘤一例报告并文献复习

Cavernous hemangioma in sellar region misdiagnosed as invasive pituitary adenoma(a report of 1 case and review of literature)

目的通过一例鞍区海绵状血管瘤误诊分析和相关文献复习,以降低鞍区海绵状血管瘤的误诊、误治率。方法结合相关文献,在对鞍区海绵状血管瘤的特点进行系统复习的基础上,对1例鞍区海绵状血管瘤的误诊原因进行分析,并对其与侵袭性垂体瘤进行鉴别。结果术中发现肿瘤颜色暗红,光滑质韧,切开后瘤体回缩、不能被刮出,出血明显,仅取小块组织行病理检查为海绵状血管瘤。结论鞍区海绵状血管瘤有其独特的临床特征,术前明确诊断避免误诊、误治。

Objective To decrease the misdiagnosis and mistreatment rate of cavernous heman -gioma in sellar region through the analysis of misdiagnosis and the review of relevant literatures from 1 case with cavernous hemangioma in the sellar region .Methods Combined with the relevant litera-tures,it was systematically reviewed of the characteristics of cavernous hemangioma in sellar region , and analyzed of the misdiagnosis causes of 1 case of cavernous hemangioma in sellar region ,then, distinguished between cavernous hemangioma in sellar region and invasive pituitary adenoma .Results The tumors were marroon ,smooth and tough , the bleeding was found obviously during the operation and only small piece of tissue were taken for pathological examination which was identified as cavernous .Conclusions Cavernous hemangioma in sellar region has its unique clinical features . Accurate preoperative diagnosis is essential important to avoid mistreatment .