Moreno LK, Ortíz PA, García NV, Tena SML

Idioma: Español
Referencias bibliográficas: 31
Paginas: 129-133
Archivo PDF: 103.38 Kb.

RESUMEN

El quiste de Rathke es un tumor de la adenohipófisis, suele ser asintomático y encontrarse como hallazgo de autopsia. El tratamiento es quirúrgico, se recomienda un abordaje transesfenoidal sea endoscópico o microquirúrgico. Presentamos el caso de una mujer de 29 años, que inició seis años atrás con cefalea intensa, déficit en agudeza visual y diplopia. La TAC e RM mostraron lesión quística selar. Se realizó cirugía transesfenoidal con buenos resultados. Histológicamente se observó adenohipófisis normal con abundantes células gigantes multinucleadas de tipo cuerpo extraño, cristales de colesterol, infiltrado inflamatorio crónico inespecífico y hemosiderófagos. Sin evidencia de adenoma hipofisiario ni de epitelio estratificado se pensó en quiste de Rathke roto a adenohipófisis.

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