Ectopic recurrence of craniopharyngioma along the surgical route: case report and literature review

Acta Neurochir (Wien). 2010 Feb;152(2):297-302; discussion 302. doi: 10.1007/s00701-009-0415-1. Epub 2009 Jun 5.

Abstract

We present a 22-year-old woman with an ectopic recurrence of a craniopharyngioma. The patient presented first with a visual field deficit, and a craniopharyngioma was removed via an interhemispheric transcallosal approach. Magnetic resonance imaging (MRI) performed at 1 month, and then at 1 year after surgery showed complete removal of the lesion. However, at 4 years, MRI showed the presence of a small tumor in the right medial frontal lobe attached to the falx and along the previous surgical route. We present possible explanations for the ectopic recurrence and literature review.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Brain Neoplasms / secondary*
  • Brain Neoplasms / surgery
  • Choristoma / pathology
  • Choristoma / physiopathology
  • Choristoma / surgery
  • Corpus Callosum / anatomy & histology
  • Corpus Callosum / surgery
  • Craniopharyngioma / secondary*
  • Craniopharyngioma / surgery
  • Dura Mater / pathology
  • Dura Mater / surgery
  • Female
  • Frontal Lobe / pathology
  • Frontal Lobe / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasm Metastasis / pathology
  • Neoplasm Metastasis / therapy
  • Neoplasm Recurrence, Local / pathology*
  • Neoplasm Recurrence, Local / physiopathology
  • Neoplasm Recurrence, Local / surgery*
  • Neoplasm Seeding*
  • Neurosurgical Procedures
  • Pituitary Gland / pathology
  • Pituitary Gland / surgery
  • Pituitary Neoplasms / pathology*
  • Pituitary Neoplasms / surgery
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery
  • Sella Turcica / pathology
  • Sella Turcica / surgery
  • Treatment Outcome
  • Young Adult