CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 265-268
DOI: 10.1055/s-0038-1670933
Case report
Neurological Surgeons' Society of India

A Rare Case of Recurrence of Craniopharyngioma at Ectopic Site after Surgical Resection of Primary Tumor

Subir Dey
1  Department of Neurosurgery, Command Hospital, (Central Command), Lucknow, Uttar Pradesh, India
,
Akhilesh Rao
2  Department of Radiodiagnosis & Imaging, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India
,
Shilpa Sinha
2  Department of Radiodiagnosis & Imaging, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India
,
Nishant,
Sanjay Kumar
4  Department of Neurosurgery, Command, Hospital (Southern Command), Pune, Maharashtra, India
› Author Affiliations
Further Information

Publication History

Received: 09 November 2017

accepted: 19 January 2018

Publication Date:
01 November 2018 (online)

  

Abstract

Ectopic recurrence of craniopharyngiomas after surgical resection of primary lesion is extremely rare. In this article, the authors describe a case of a 12-year-old girl with ectopic recurrence of craniopharyngioma in an extra-axial location in the right frontal region, after an attempt to completely resect the lesion originally located in the sellar region. The patient was investigated radiologically, hormonally, and histopathologic confirmation was sought. During surgery, it is important to take extra care in removing the primary lesion in toto. In case of cystic tumors, it is very important to aspirate cystic fluid completely, before resecting the capsule to avoid rupture or spillage. Long-term clinical and radiologic follow-up is suggested as ectopic recurrence may occur at a very late stage.