A Case for Conservative Management: Characterizing the Natural History of Radiographically Diagnosed Rathke Cleft Cysts
Author(s) -
Silas A Culver,
Yuval Grober,
David A. Ornan,
James T. Patrie,
Edward H. Oldfield,
John A. Jane,
Michael O. Thorner
Publication year - 2015
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2015-2604
Subject(s) - medicine , asymptomatic , natural history , conservative management , cyst , magnetic resonance imaging , retrospective cohort study , radiology , population , surgery , environmental health
Rathke cleft cysts (RCCs) are benign embryonic remnants of the Rathke's pouch found in 13% to 33% of the general population. When symptomatic, they manifest themselves by compressing adjacent structures, causing pressure effects such as headache, visual disturbance, or pituitary hormone deficits. Most RCCs are asymptomatic, and their management remains controversial. Surgical resection has generally been indicated to treat symptomatic RCCs but carries the risk of complications.
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