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CASE REPORT
Year : 2013  |  Volume : 8  |  Issue : 4  |  Page : 183-187

Symptomatic Rathke's cleft cyst with a co-existing pituitary tumor; Brief review of the literature


1 Division of Neurosurgery, Duke University Medical Center, Durham, NC, USA
2 Division of Pathology, Department of Surgery, Duke University Medical Center, Durham, NC, USA

Correspondence Address:
Gavin W Britz
Duke University Medical Center, 3807, Durham, NC 27710
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.125662

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Pituitary adenomas and Rathke's cleft cysts (RCCs) share a common embryological origin. Occasionally, these two lesions can present within the same patient. We present a case of a 39-year-old male who was found to have a large sellar lesion after complaints of persistent headaches and horizontal nystagmus. Surgical resection revealed components of a RCC co-existing with a pituitary adenoma. A brief review of the literature was performed revealing 38 cases of co-existing Rathke's cleft cysts and pituitary adenomas. Among the cases, the most common symptoms included headache and visual changes. Rathke's cleft cysts and pituitary adenomas are rarely found to co-exist, despite having common embryological origins. We review the existing literature, discuss the common embryology to these two lesions and describe a unique case from our institution of a co-existing Rathke's cleft cyst and pituitary adenoma.


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