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KMID : 0358420120550010051
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 1 p.51 ~ p.54
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A case of Rathke’s cleft cyst presenting with amenorrhea
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Park Young-Sin
Lee Mee-Hwa
Kim Tae-Heon
Jang Hang-Yong
Lee Gyung-Mi
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Abstract
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A 28-year-old female presented with Rathke’s cleft cysts (RCC) manifesting as primary amenorrhea and no development of secondary sexual characteristics. She had no symptoms of headache, visual disturbance, anosmia or galactorrhea.. The endocrinologic study demonstrated partial hypopituitarism. Magnetic resonance imaging revealed about 1.5 cm sized sellar and suprasellar cystic tumor, extending into the pituitary stalk. Its tentative diagnosis was benign pituitary cystic tumor, such as RCC. She underwent surgery by a transsphenoidal approach. Histological examination revealed a ciliated columnar epithelium those consistent with RCC. RCC is rarely symptomatic, but mechanical compression by the cyst or inflammation itself causes headache, visual field defects, or symptoms of pituitary dysfunction. The present case shows that RCC may manifest as hypogonadotropic hypogonadism.
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KEYWORD
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Rathke’s cleft cysts, Amenorrhea, Hypogonadotropic hypogonadism
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