Craniopharyngioma and other cystic epithelial lesions of the sellar region: a review of clinical, imaging, and histopathological relationships

Neurosurgical Focus

Volumn 28, Issue 4, 2010, Pages

  Zada, Gabriel ^a   Lin, Ning ^a   Ojerholm, Eric ^a   Ramkissoon, Shakti ^a   Laws, Edward R ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Craniopharyngioma; Embryology; Epithelial cyst; Magnetic resonance imaging; Rathke cleft cyst

Indexed keywords

ADULT; ANIMAL; ARTICLE; BRAIN CYST; COMPARATIVE STUDY; CRANIOPHARYNGIOMA; CYST; EPIDERMOID CYST; FEMALE; HUMAN; HYPOPHYSIS TUMOR; HYPOTHALAMUS; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOLOGY; RAT; SELLA TURCICA; STATISTICS; TERATOMA;

ADULT; ANIMALS; CENTRAL NERVOUS SYSTEM CYSTS; CRANIOPHARYNGIOMA; CYSTS; DERMOID CYST; EPIDERMAL CYST; FEMALE; HUMANS; HYPOTHALAMUS; MAGNETIC RESONANCE IMAGING; MALE; PITUITARY NEOPLASMS; RATS; SELLA TURCICA;

EID: 77953661834     PISSN: None     EISSN: 10920684     Source Type: Journal    
DOI: 10.3171/2010.2.FOCUS09318     Document Type: Article

References (116)

1. Adamson TE, Wiestler OD, Kleihues P, Yaşargil MG: Correlation of clinical and pathological features in surgically treated craniopharyngiomas. J Neurosurg 73:12-17, 1990
2. Aho CJ, Liu C, Zelman V, Couldwell WT, Weiss MH: Surgical outcomes in 118 patients with Rathke cleft cysts. J Neurosurg 102:189-193, 2005
3. Asa SL, Kovacs K, Bilbao JM: The pars tuberalis of the human pituitary. A histologic, immunohistochemical, ultrastructural and immunoelectron microscopic analysis. Virchows Arch A Pathol Anat Histopathol 399:49-59, 1983
4. Asari S, Ito T, Tsuchida S, Tsutsui T: MR appearance and cyst content of Rathke cleft cysts. J Comput Assist Tomogr 14:532-535, 1990
5. Babinski J: Tumeur du corps pituitaire sans acromegalie et avec arrêt développementdes organes génitaux. Rev Neurol 9:531-533, 1900 (Fr)
6. Barrow DL, Spector RH, Takei Y, Tindall GT: Symptomatic Rathke's cleft cysts located entirely in the suprasellar region: review of diagnosis, management, and pathogenesis. Neurosurgery 16:766-772, 1985
7. Benveniste RJ, King WA, Walsh J, Lee JS, Naidich TP, Post KD: Surgery for Rathke cleft cysts: technical considerations and outcomes. J Neurosurg 101:577-584, 2004
8. Binning MJ, Gottfried ON, Osborn AG, Couldwell WT: Rathke cleft cyst intracystic nodule: a characteristic magnetic resonance imaging finding. J Neurosurg 103:837-840, 2005
9. Boggan JE, Davis RL, Zorman G, Wilson CB: Intrasellar epidermoid cyst. Case report. J Neurosurg 58:411-415, 1983
10. Brassier G, Morandi X, Tayiar E, Riffaud L, Chabert E, Heresbach N, et al: Rathke's cleft cysts: surgical-MRI correlation in 16 symptomatic cases. J Neuroradiol 26:162-171, 1999
11. Brunel H, Raybaud C, Peretti-Viton P, Lena G, Girard N, Paz-Paredes A, et al: [Craniopharyngioma in children: MRI study of 43 cases.] Neurochirurgie 48:309-318, 2002 (Fr)
12. Bunin GR, Surawicz TS, Witman PA, Preston-Martin S, Davis F, Bruner JM: The descriptive epidemiology of craniopharyngioma. J Neurosurg 89:547-551, 1998
13. Buslei R, Nolde M, Hofmann B, Meissner S, Eyupoglu IY, Siebzehnrübl F, et al: Common mutations of beta-catenin in adamantinomatous craniopharyngiomas but not in other tumours originating from the sellar region. Acta Neuropathol 109:589-597, 2005
14. Byun WM, Kim OL, Kim D: MR imaging findings of Rathke's cleft cysts: significance of intracystic nodules. AJNR Am J Neuroradiol 21:485-488, 2000
15. Cavallo LM, Prevedello D, Esposito F, Laws ER Jr, Dusick JR, Messina A, et al: The role of the endoscope in the transsphenoidal management of cystic lesions of the sellar region. Neurosurg Rev 31:55-64, 2008
16. Chakrabarti I, Amar AP, Couldwell W, Weiss MH: Longterm neurological, visual, and endocrine outcomes following transnasal resection of craniopharyngioma. J Neurosurg 102:650-657, 2005
17. Choi SH, Kwon BJ, Na DG, Kim JH, Han MH, Chang KH: Pituitary adenoma, craniopharyngioma, and Rathke cleft cyst involving both intrasellar and suprasellar regions: differentiation using MRI. Clin Radiol 62:453-462, 2007
18. Concha S, Hamilton BP, Millan JC, McQueen JD: Symptomatic Rathke's cleft cyst with amyloid stroma. J Neurol Neurosurg Psychiatry 38:782-786, 1975
19. Couldwell WT, Weiss MH: Nonadenomatous lesions of the pituitary, in Krisht A, Tindall, GT (eds): Pituitary Disorders. Baltimore, MD: Lipincott Williams & Wilkins, 1999
20. Crotty TB, Scheithauer BW, Young WF Jr, Davis DH, Shaw EG, Miller GM, et al: Papillary craniopharyngioma: a clinicopathological study of 48 cases. J Neurosurg 83:206-214, 1995
21. Diengdoh JV, Scott T: Electron-microscopical study of a Rathke's cleft cyst. Acta Neuropathol 60:14-18, 1983
22. Eldevik OP, Blaivas M, Gabrielsen TO, Hald JK, Chandler WF: Craniopharyngioma: radiologic and histologic findings and recurrence. AJNR Am J Neuroradiol 17:1427-1439, 1996
23. Elliott RE, Wisoff JH: Successful surgical treatment of craniopharyngioma in very young children. J Neurosurg Pediatr 3:397-406, 2009
24. Erdheim J: Über Hypophysenganggeschwülste und Hirncholesteatome. Sitzungsber Kaiserliche Akad Wiss (Wien) 113 (sect3):537-726, 1904
25. Fager CA, Carter H: Intrasellar epithelial cysts. J Neurosurg 24:77-81, 1966
26. Fahlbusch R, Honegger J, Paulus W, Huk W, Buchfelder M: Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg 90:237-250, 1999
27. Fatemi N, Dusick JR, de Paiva Neto MA, Kelly DF: The endonasal microscopic approach for pituitary adenomas and other parasellar tumors: a 10-year experience. Neurosurgery 63 (4 Suppl 2):244-256, 2008
28. Frohlich A: Ein Fall von Tumor der Hypophysis cerebri ohne Akromegalie. Wien Klin Rundschau 15:883-886, 903-906, 1901
29. Goldberg GM, Eshbaugh DE: Squamous cell nests of the pituitary gland as related to the origin of craniopharyngiomas. A study of their presence in the newborn and infants up to age four. Arch Pathol 70:293-299, 1960
30. Goodrich JT, Post KD, Duffy P: Ciliated craniopharyngioma. Surg Neurol 24:105-111, 1985
31. Gormley WB, Tomecek FJ, Qureshi N, Malik GM: Craniocerebral epidermoid and dermoid tumours: a review of 32 cases. Acta Neurochir (Wien) 128:115-121, 1994
32. Graziani N, Dufour H, Figarella-Branger D, Donnet A, Bouillot P, Grisoli F: Do the suprasellar neurenteric cyst, the Rathke cleft cyst and the colloid cyst constitute a same entity? Acta Neurochir (Wien) 133:174-180, 1995
33. Hama S, Arita K, Nishisaka T, Fukuhara T, Tominaga A, Sugiyama K, et al: Changes in the epithelium of Rathke cleft cyst associated with inflammation. J Neurosurg 96:209-216, 2002
34. Harrison MJ, Morgello S, Post KD: Epithelial cystic lesions of the sellar and parasellar region: a continuum of ectodermal derivatives? J Neurosurg 80:1018-1025, 1994
35. Hayashi Y, Tachibana O, Muramatsu N, Tsuchiya H, Tada M, Arakawa Y, et al: Rathke cleft cyst: MR and biomedical analysis of cyst content. J Comput Assist Tomogr 23:34-38, 1999
36. Hofmann BM, Kreutzer J, Saeger W, Buchfelder M, Blümcke I, Fahlbusch R, et al: Nuclear beta-catenin accumulation as reliable marker for the differentiation between cystic craniopharyngiomas and Rathke cleft cysts: a clinico-pathologic approach. Am J Surg Pathol 30:1595-1603, 2006
37. Honegger J, Barocka A, Sadri B, Fahlbusch R: Neuropsychological results of craniopharyngioma surgery in adults: a prospective study. Surg Neurol 50:19-29, 1998
38. Honegger J, Buchfelder M, Fahlbusch R: Surgical treatment of craniopharyngiomas: endocrinological results. J Neurosurg 90:251-257, 1999
39. Hunter IJ: Squamous metaplasia of cells of the anterior pituitary gland. J Pathol Bacteriol 69:141-145, 1955
40. Iaconetta G, Carvalho GA, Vorkapic P, Samii M: Intracerebral epidermoid tumor: a case report and review of the literature. Surg Neurol 55:218-222, 2001
41. Ikeda H, Yoshimoto T: Clinicopathological study of Rathke's cleft cysts. Clin Neuropathol 21:82-91, 2002
42. Ikeda H, Yoshimoto T, Suzuki J: Immunohistochemical study of Rathke's cleft cyst. Acta Neuropathol 77:33-38, 1988
43. Inoue T, Matsushima T, Fukui M, Iwaki T, Takeshita I, Kuromatsu C: Immunohistochemical study of intracranial cysts. Neurosurgery 23:576-581, 1988
44. Ishii T, Yamasaki T, Tanaka J, Tanaka S, Hori T, Muraoka K: [Rathke's cleft cyst-report of three cases.] No Shinkei Geka 15:451-456, 1987 (Japanese)
45. Isono M, Kamida T, Kobayashi H, Shimomura T, Matsuyama J: Clinical features of symptomatic Rathke's cleft cyst. Clin Neurol Neurosurg 103:96-100, 2001
46. Iwasaki K, Kondo A, Takahashi JB, Yamanobe K: Intraventricular craniopharyngioma: report of two cases and review of the literature. Surg Neurol 38:294-301, 1992
47. Iwata H, Hosoi M, Miyajima R, Yamamoto S, Mikami S, Yamakawa S, et al: Morphogenesis of craniopharyngeal derivatives in the neurohypophysis of Fisher 344 rats: abnormally developed epithelial tissues including parotid glands derived from the stomatodeum. Toxicol Pathol 28:568-574, 2000
48. Jagannathan J, Dumont AS, Jane JA Jr, Laws ER Jr: Pediatric sellar tumors: diagnostic procedures and management. Neurosurg Focus 18 (6A):E6, 2005
49. Jane JA Jr, Laws ER: Craniopharyngioma. Pituitary 9:323-326, 2006
50. Kanter AS, Sansur CA, Jane JA Jr, Laws ER Jr: Rathke's cleft cysts. Front Horm Res 34:127-157, 2006
51. Karavitaki N, Brufani C, Warner JT, Adams CB, Richards P, Ansorge O, et al: Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up. Clin Endocrinol (Oxf) 62:397-409, 2005
52. Karavitaki N, Cudlip S, Adams CB, Wass JA: Craniopharyngiomas. Endocr Rev 27:371-397, 2006
53. Karavitaki N, Scheithauer BW, Watt J, Ansorge O, Moschopoulos M, Llaguno AV, et al: Collision lesions of the sella: co-existence of craniopharyngioma with gonadotroph adenoma and of Rathke's cleft cyst with corticotroph adenoma. Pituitary 11:317-323, 2008
54. Kasperbauer JL, Orvidas LJ, Atkinson JL, Abboud CF: Rathke cleft cyst: diagnostic and therapeutic considerations. Laryngoscope 112:1836-1839, 2002
55. Kepes JJ: Transitional cell tumor of the pituitary gland developing from a Rathke's cleft cyst. Cancer 41:337-343, 1978
56. Kim JE, Kim JH, Kim OL, Paek SH, Kim DG, Chi JG, et al: Surgical treatment of symptomatic Rathke cleft cysts: clinical features and results with special attention to recurrence. J Neurosurg 100:33-40, 2004
57. Kunii N, Abe T, Kawamo M, Tanioka D, Izumiyama H, Moritani T: Rathke's cleft cysts: differentiation from other cystic lesions in the pituitary fossa by use of single-shot fast spin-echo diffusion-weighted MR imaging. Acta Neurochir (Wien) 149:759-769, 2007
58. Kurosaki M, Saeger W, Lüdecke DK: Immunohistochemical localisation of cytokeratins in craniopharyngioma. Acta Neurochir (Wien) 143:147-151, 2001
59. Laws ER: Craniopharyngiomas in children and young adults. Prog Exp Tumor Res 30:335-340, 1987
60. Laws ER: Endoscopic surgery for cystic lesions of the pituitary region. Nat Clin Pract Endocrinol Metab 4:662-663, 2008
61. Laws ER, Kanter AS: Rathke cleft cysts. J Neurosurg 101:571-572, 2004
62. Laws ER, Weiss MH, White WL: Craniopharyngioma. Skull Base 13:55-58, 2003
63. Le BH, Towfighi J, Kapadia SB, Lopes MB: Comparative immunohistochemical assessment of craniopharyngioma and related lesions. Endocr Pathol 18:23-30, 2007
64. Lee CH, Seo EK, Cho YJ, Kim SJ: Large ossified Rathke's cleft cyst-a case report and review of the literature. J Korean Neurosurg Soc 44:256-258, 2008
65. Leech RW, Olafson RA: Epithelial cysts of the neuraxis: presentation of three cases and a review of the origins and classification. Arch Pathol Lab Med 101:196-202, 1977
66. Luschka Hv: Der Hirnanhang u.d. Steissdruse d. Menschen. Berlin, 1860
67. Maartens N, Kaye A: Transsphenoidal resection of craniopharyngiomas, in Laws ER, Lanzino G (eds): Transsphenoidal Surgery. Philadelphia: Elsevier, 2006
68. Maruki C, Shimoji T, Kijima H, Matsumoto M, Maeda M: Ciliated epithelial cell cluster in Rathke's cleft cyst-report of two cases. Neurol Med Chir (Tokyo) 31:92-95, 1991
69. Matsushima T, Fukui M, Fujii K, Kinoshita K, Yamakawa Y: Epithelial cells in symptomatic Rathke's cleft cysts. A light-and electron-microscopic study. Surg Neurol 30:197-203, 1988
70. Matsushima T, Fukui M, Ohta M, Yamakawa Y, Takaki T, Okano H: Ciliated and goblet cells in craniopharyngioma. Light and electron microscopic studies at surgery and autopsy. Acta Neuropathol 50:199-205, 1980
71. Mukherjee JJ, Islam N, Kaltsas G, Lowe DG, Charlesworth M, Afshar F, et al: Clinical, radiological and pathological features of patients with Rathke's cleft cysts: tumors that may recur. J Clin Endocrinol Metab 82:2357-2362, 1997
72. Nakasu Y, Nakasu S, Nakajima M, Itoh R, Matsuda M: Atypical Rathke's cleft cyst associated with ossification. AJNR Am J Neuroradiol 20:1287-1289, 1999
73. Nemergut EC, Zuo Z, Jane JA Jr, Laws ER Jr: Predictors of diabetes insipidus after transsphenoidal surgery: a review of 881 patients. J Neurosurg 103:448-454, 2005
74. Netsky MG: Epidermoid tumors. Review of the literature. Surg Neurol 29:477-483, 1988
75. Nishioka H, Haraoka J, Izawa H, Ikeda Y: Magnetic resonance imaging, clinical manifestations, and management of Rathke's cleft cyst. Clin Endocrinol (Oxf) 64:184-188, 2006
76. Oge K, Ozgen T: Transsphenoidal removal of an intra-and suprasellar epidermoid cyst. Neurochirurgia (Stuttg) 34:94-96, 1991
77. Oka H, Kawano N, Yagishita S, Kobayashi I, Saegusa H, Fujii K: Ciliated craniopharyngioma indicates histogenetic relationship to Rathke cleft epithelium. Clin Neuropathol 16:103-106, 1997
78. Oka H, Kawano N, Yagishita S, Suwa T, Yoshida T, Maezawa H, et al: Origin of ciliated craniopharyngioma: pathological relationship between Rathke cleft cyst and ciliated craniopharyngioma. Noshuyo Byori 12:97-103, 1995
79. Okada T, Fujitsu K, Miyahara K, Ichikawa T, Takemoto Y, Niino H, et al: Ciliated craniopharyngioma-case report and pathological study. Acta Neurochir (Wien) 152:303-307, 2010
80. Oskouian RJ, Samii A, Laws ER Jr: The craniopharyngioma. Front Horm Res 34:105-126, 2006
81. Palma L, Celli P: Suprasellar epithelial cyst. Case report. J Neurosurg 58:763-765, 1983
82. Park YS, Ahn JY, Kim DS, Kim TS, Kim SH: Late development of craniopharyngioma following surgery for Rathke's cleft cyst. Clin Neuropathol 28:177-181, 2009
83. Paulus W, Honegger J, Keyvani K, Fahlbusch R: Xanthogranuloma of the sellar region: a clinicopathological entity different from adamantinomatous craniopharyngioma. Acta Neuropathol 97:377-382, 1999
84. Prabhu VC, Brown HG: The pathogenesis of craniopharyngiomas. Childs Nerv Syst 21:622-627, 2005
85. Rathke H: Ueber die Entstehung der Glandula pituitaria. Arch Anat Physiol Wiss Med 5:482-485, 1838
86. Ross DA, Norman D, Wilson CB: Radiologic characteristics and results of surgical management of Rathke's cysts in 43 patients. Neurosurgery 30:173-179, 1992
87. Russell D, Rubinstein L: Pathology of Tumours of the Nervous System, ed 5: Williams & Wilkins, 1989
88. Sadler T: Langman's Medical Embryology. Philadelphia: Lippincott Williams & Wilkins, 2009, p 414
89. Saeger W, Lüdecke DK, Buchfelder M, Fahlbusch R, Quabbe HJ, Petersenn S: Pathohistological classification of pituitary tumors: 10 years of experience with the German Pituitary Tumor Registry. Eur J Endocrinol 156:203-216, 2007
90. Saeki N, Sunami K, Sugaya Y, Yamaura A: MRI findings and clinical manifestations in Rathke's cleft cyst. Acta Neurochir (Wien) 141:1055-1061, 1999
91. Sani S, Smith A, Leppla DC, Ilangovan S, Glick R: Epidermoid cyst of the sphenoid sinus with extension into the sella turcica presenting as pituitary apoplexy: case report. Surg Neurol 63:394-397, 2005
92. Sartoretti-Schefer S, Wichmann W, Aguzzi A, Valavanis A: MR differentiation of adamantinous and squamous-papillary craniopharyngiomas. AJNR Am J Neuroradiol 18:77-87, 1997
93. Sato K, Oka H, Utsuki S, Kondo K, Kurata A, Fujii K: Ciliated craniopharyngioma may arise from Rathke cleft cyst. Clin Neuropathol 25:25-28, 2006
94. Schaetti P, Argentino-Storino A, Heinrichs M, Mirea D, Popp A, Karbe E: Aberrant craniopharyngeal structures within the neurohypophysis of rats. Exp Toxicol Pathol 47:129-137, 1995
95. Shanklin WM: The histogenesis and histology of an integumentary type of epithelium in the human hypophysis. Anat Rec 109:217-231, 1951
96. Shimoji T, Shinohara A, Shimizu A, Sato K, Ishii S: Rathke cleft cysts. Surg Neurol 21:295-310, 1984
97. Shin JL, Asa SL, Woodhouse LJ, Smyth HS, Ezzat S: Cystic lesions of the pituitary: clinicopathological features distinguishing craniopharyngioma, Rathke's cleft cyst, and arachnoid cyst. J Clin Endocrinol Metab 84:3972-3982, 1999
98. Shuangshoti S, Netsky MG, Nashold BS Jr: Epithelial cysts related to sella turcica. Proposed origin from neuroepithelium. Arch Pathol 90:444-450, 1970
99. Tatagiba M, Iaconetta G, Samii M: Epidermoid cyst of the cavernous sinus: clinical features, pathogenesis and treatment. Br J Neurosurg 14:571-575, 2000
100. Teramoto A, Hirakawa K, Sanno N, Osamura Y: Incidental pituitary lesions in 1,000 unselected autopsy specimens. Radiology 193:161-164, 1994
101. Thapar K, Kovacs K: Cystic lesions of the sellar region, in Bigner D, McLendon R, Bruner J (eds): Russell and Rubinsteins's Pathology of Tumors of the Central Nervous System, ed 6. New York: Oxford University Press, 1998, Vol 2, pp 650-652
102. Tominaga JY, Higano S, Takahashi S: Characteristics of Rathke's cleft cyst in MR imaging. Magn Reson Med Sci 2:1-8, 2003
103. Tsuruda JS, Chew WM, Moseley ME, Norman D: Diffusionweighted MR imaging of the brain: value of differentiating between extraaxial cysts and epidermoid tumors. AJR Am J Roentgenol 155:1059-1068, 1990
104. Tuna H, Torun F, Torun AN, Erdogan A: Intrasellar epidermoid cyst presenting as pituitary apoplexy. J Clin Neurosci 15:1154-1156, 2008
105. Van Effenterre R, Boch AL: Craniopharyngioma in adults and children: a study of 122 surgical cases. J Neurosurg 97:3-11, 2002
106. VanGilder JC, Inukai J: Growth characteristics of experimental intracerebrally transplanted oral epithelium. J Neurosurg 38:608-615, 1973
107. Verkijk A, Bots GT: An intrasellar cyst with both Rathke's cleft and epidermoid characteristics. Acta Neurochir (Wien) 51:203-207, 1980
108. Voelker JL, Campbell RL, Muller J: Clinical, radiographic, and pathological features of symptomatic Rathke's cleft cysts. J Neurosurg 74:535-544, 1991
109. Weiner HL, Wisoff JH, Rosenberg ME, Kupersmith MJ, Cohen H, Zagzag D, et al: Craniopharyngiomas: a clinicopathological analysis of factors predictive of recurrence and functional outcome. Neurosurgery 35:1001-1011, 1994
110. Wenger M, Simko M, Markwalder R, Taub E: An entirely suprasellar Rathke's cleft cyst: case report and review of the literature. J Clin Neurosci 8:564-567, 2001
111. Xin W, Rubin MA, McKeever PE: Differential expression of cytokeratins 8 and 20 distinguishes craniopharyngioma from Rathke cleft cyst. Arch Pathol Lab Med 126:1174-1178, 2002
112. Yaşargil MG, Abernathey CD, Sarioglu AC: Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24:561-567, 1989
113. Yoshida J, Kobayashi T, Kageyama N, Kanzaki M: Symptomatic Rathke's cleft cyst. Morphological study with light and electron microscopy and tissue culture. J Neurosurg 47:451-458, 1977
114. Zada G, Ditty B, McNatt SA, McComb JG, Krieger MD: Surgical treatment of Rathke cleft cysts in children. Neurosurgery 64:1132-1038, 2009
115. Zada G, Kelly DF, Cohan P, Wang C, Swerdloff R: Endonasal transsphenoidal approach for pituitary adenomas and other sellar lesions: an assessment of efficacy, safety, and patient impressions. J Neurosurg 98:350-358, 2003
116. Zada G, Liu CY, Fishback D, Singer PA, Weiss MH: Recognition and management of delayed hyponatremia following transsphenoidal pituitary surgery. J Neurosurg 106:66-71, 2007