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Vol. 4. Issue 4.
Pages 325-328 (January 1993)
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Vol. 4. Issue 4.
Pages 325-328 (January 1993)
Thmor de células gigantes de localización esfenoidal. Caso clínico y revisión de la literatura
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J. Domínguez, R.D. Lobato, J.J. Rivas, P.A. Gómez, J. Ayerbe
Servicio de Neurocirugía. Hospital «12 de Octubre». Madrid
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Resumen

Se presenta un caso de tumor de células gigantes de localización esfenoclival. El diagnóstico radiológico incluyó tomografía computarizada y resonancia magnética craneales y en esta última la lesión presentaba una señal intermedia que característicamente no se incrementaba en las imágenes potenciadas en T2.

El paciente fue intervenido mediante maxilotomía Le Fort I siendo posteriormente sometido a un ciclo completo de Telecobaltoterapia.

Se discute el diagnóstico diferencial y la actitud terapéutica.

Palabras clave:
Tumor de Células Gigantes
Base Craneal
Esfenoides
Resonancia Magnética
Radioterapia
Summary

A case of a giant-cell tumor of the sphenoid bone is described. A CT scan and cranial MR were performedo MR showed a lesion of intermediate signal intensity that was not increased on T2 weighted images unlike other cranial base neoplasms.

The tumor was approached through a Le Fort I maxillotomy achieving a gross total removal. Postoperative radiation therapy was administered.

The differential diagnosis and tlierapeutic management of these tumors is discussed.

Key words:
Giant cell tumor
Skull Base
Sphenoid Bone
Magnetic Resonance
Radiation Therapy

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