Topographical distribution and prevalence of basal duct-like recess sign in a cohort of Papillary Craniopharyngioma-novel findings and implications.
CNS tumors
Duct-like recess
Papillary craniopharyngioma
Pituitary
Sella
Journal
Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751
Informations de publication
Date de publication:
16 Apr 2024
16 Apr 2024
Historique:
received:
23
10
2023
accepted:
07
04
2024
medline:
16
4
2024
pubmed:
16
4
2024
entrez:
16
4
2024
Statut:
aheadofprint
Résumé
Basal duct-like recess (DR) sign serves as a specific marker of papillary craniopharyngiomas (PCPs) of the strictly third-ventricular (3 V) topography. Origins of this sign are poorly understood with limited validation in external cohorts. In this retrospective study, MRIs of pathologically proven PCPs were reviewed and evaluated for tumor topography, DR sign prevalence, and morphological subtypes. Twenty-three cases with 24 MRIs satisfied our inclusion criteria. Median age was 44.5 years with a predominant male distribution (M/F ratio 4.7:1). Overall, strictly 3 V was the commonest tumor topography (8/24, 33.3%), and tumors were most commonly solid-cystic (10/24, 41.7%). The prevalence of DR sign was 21.7% (5/23 cases), all with strictly 3 V topography and with a predominantly solid consistency. The sensitivity, specificity and positive and negative predictive value of the DR sign for strict 3 V topography was 62.5%, 100%, 100% and 84.2% respectively. New pertinent findings associated with the DR sign were observed in our cohort. This included development of the cleft-like variant of DR sign after a 9-year follow-up initially absent at baseline imaging. Additionally, cystic dilatation of the basal tumor cleft at the pituitary stalk-tumor junction and presence of a vascular structure overlapping the DR sign were noted. Relevant mechanisms, hypotheses, and implications were explored. We confirm the DR sign as a highly specific marker of the strictly 3 V topography in PCPs. While embryological and molecular factors remain pertinent in understanding origins of the DR sign, non-embryological mechanisms may play a role in development of the cleft-like variant.
Identifiants
pubmed: 38625616
doi: 10.1007/s00234-024-03355-6
pii: 10.1007/s00234-024-03355-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Ugga L, Franca RA, Scaravilli A et al (2023) Neoplasms and tumor-like lesions of the sellar region: imaging findings with correlation to pathology and 2021 WHO classification. Neuroradiology 65:675–699. https://doi.org/10.1007/s00234-023-03120-1
doi: 10.1007/s00234-023-03120-1
pubmed: 36799985
pmcid: 10033642
Pascual JM, Prieto R, Carrasco R, Barrios L (2022) Basal recess in third ventricle tumors: a pathological feature defining a clinical-topographical subpopulation of papillary craniopharyngiomas. J Neuropathol Exp Neurol 81:330–343. https://doi.org/10.1093/jnen/nlac020
doi: 10.1093/jnen/nlac020
pubmed: 35472085
Pascual JM, Carrasco R, Barrios L, Prieto R (2022) Duct-like recess in the infundibular portion of third ventricle craniopharyngiomas: an MRI sign identifying the papillary type. AJNR Am J Neuroradiol 43:1333–1340. https://doi.org/10.3174/ajnr.A7602
doi: 10.3174/ajnr.A7602
pubmed: 35953277
pmcid: 9451635
Pascual JM, Carrasco R, Prieto R et al (2008) Craniopharyngioma classification. J Neurosurg 109:1180–1182. https://doi.org/10.3171/JNS.2008.109.12.1180
doi: 10.3171/JNS.2008.109.12.1180
pubmed: 19035739
Magill ST, Jane JA, Prevedello DM (2021) Editorial. Craniopharyngioma classification. J Neurosurg 135:1293–1295. https://doi.org/10.3171/2020.8.JNS202666
doi: 10.3171/2020.8.JNS202666
pubmed: 33668034
Kassam AB, Gardner PA, Snyderman CH et al (2008) Expanded endonasal approach, a fully endoscopic transnasal approach for the resection of midline suprasellar craniopharyngiomas: a new classification based on the infundibulum. J Neurosurg 108:715–728. https://doi.org/10.3171/JNS/2008/108/4/0715
doi: 10.3171/JNS/2008/108/4/0715
pubmed: 18377251
Fan J, Liu Y, Pan J et al (2021) Endoscopic endonasal versus transcranial surgery for primary resection of craniopharyngiomas based on a new QST classification system: a comparative series of 315 patients. J Neurosurg 135:1298–1309. https://doi.org/10.3171/2020.7.JNS20257
doi: 10.3171/2020.7.JNS20257
pubmed: 33668037
Yaşargil MG, Curcic M, Kis M et al (1990) Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients. J Neurosurg 73:3–11. https://doi.org/10.3171/jns.1990.73.1.0003
doi: 10.3171/jns.1990.73.1.0003
pubmed: 2352020
Pascual JM, González-Llanos F, Barrios L, Roda JM (2004) Intraventricular craniopharyngiomas: topographical classification and surgical approach selection based on an extensive overview. Acta Neurochir 146:785–802. https://doi.org/10.1007/s00701-004-0295-3
doi: 10.1007/s00701-004-0295-3
pubmed: 15254801
Pascual JM, Prieto R, Castro-Dufourny I, Carrasco R (2015) Topographic diagnosis of papillary craniopharyngiomas: the need for an accurate MRI-surgical correlation. Am J Neuroradiol 36:E55–E56. https://doi.org/10.3174/ajnr.A4441
doi: 10.3174/ajnr.A4441
pubmed: 26113067
pmcid: 7964680
Prieto R, Barrios L, Pascual JM (2022) Strictly third ventricle craniopharyngiomas: pathological verification, anatomo-clinical characterization and surgical results from a comprehensive overview of 245 cases. Neurosurg Rev 45:375–394. https://doi.org/10.1007/s10143-021-01615-0
doi: 10.1007/s10143-021-01615-0
pubmed: 34448081
Louis DN, Perry A, Wesseling P et al (2021) The 2021 WHO classification of tumors of the central nervous system: a summary. Neuro Oncol 23:1231–1251. https://doi.org/10.1093/neuonc/noab106
doi: 10.1093/neuonc/noab106
pubmed: 34185076
pmcid: 8328013
Prieto R, Pascual JM, Barrios L (2017) Topographic diagnosis of craniopharyngiomas: the accuracy of MRI findings observed on conventional T1 and T2 images. Am J Neuroradiol. https://doi.org/10.3174/ajnr.A5361
doi: 10.3174/ajnr.A5361
pubmed: 28935625
pmcid: 7963600
Lee H-J, Wu C-C, Wu H-M et al (2015) Pretreatment diagnosis of suprasellar papillary craniopharyngioma and germ cell tumors of adult patients. AJNR Am J Neuroradiol 36:508–517. https://doi.org/10.3174/ajnr.A4142
doi: 10.3174/ajnr.A4142
pubmed: 25339645
pmcid: 8013062
Prieto R, Pascual JM, Barrios L (2015) Optic chiasm distortions caused by craniopharyngiomas: clinical and magnetic resonance imaging correlation and influence on visual outcome. World Neurosurg 83:500–529. https://doi.org/10.1016/j.wneu.2014.10.002
doi: 10.1016/j.wneu.2014.10.002
pubmed: 25308925
Brant-Zawadzki M, Gillan GD, Nitz WR (1992) MP RAGE: a three-dimensional, T1-weighted, gradient-echo sequence–initial experience in the brain. Radiology 182:769–775. https://doi.org/10.1148/radiology.182.3.1535892
doi: 10.1148/radiology.182.3.1535892
pubmed: 1535892
Zülch KJ (1975) Atlas of Gross Neurosurgical Pathology. Springer, Berlin, Heidelberg
doi: 10.1007/978-3-642-65728-3
Aydin S, Yilmazlar S, Aker S, Korfali E (2009) Anatomy of the floor of the third ventricle in relation to endoscopic ventriculostomy. Clin Anat 22:916–924. https://doi.org/10.1002/ca.20867
doi: 10.1002/ca.20867
pubmed: 19806669
Iaccarino C, Tedeschi E, Rapanà A et al (2009) Is the distance between mammillary bodies predictive of a thickened third ventricle floor?: Clinical article. J Neurosurg 110:852–857. https://doi.org/10.3171/2008.4.17539
doi: 10.3171/2008.4.17539
pubmed: 18976061
Prieto R, Barrios L, Pascual JM (2022) Papillary craniopharyngioma: a type of tumor primarily impairing the hypothalamus - a comprehensive anatomo-clinical characterization of 350 well-described cases. Neuroendocrinology 112:941–965. https://doi.org/10.1159/000521652
doi: 10.1159/000521652
pubmed: 35108706
Azab WA, Cavallo LM, Yousef W et al (2022) Persisting embryonal infundibular recess (PEIR) and transsphenoidal-transsellar encephaloceles: distinct entities or constituents of one continuum? Childs Nerv Syst 38:1059–1067. https://doi.org/10.1007/s00381-022-05467-x
doi: 10.1007/s00381-022-05467-x
pubmed: 35192025
Tsutsumi S, Hori M, Ono H et al (2016) The infundibular recess passes through the entire pituitary stalk. Clin Neuroradiol 26:465–469. https://doi.org/10.1007/s00062-015-0391-1
doi: 10.1007/s00062-015-0391-1
pubmed: 25895019
O’Mahony E, Ellenbogen J, Avula S (2022) Persisting embryonal infundibular recess in a case of TITF-1 gene mutation. Neuroradiology 64:1033–1035. https://doi.org/10.1007/s00234-022-02905-0
doi: 10.1007/s00234-022-02905-0
pubmed: 35199208
Veneziano L, Parkinson MH, Mantuano E et al (2014) A novel de novo mutation of the TITF1/NKX2-1 gene causing ataxia, benign hereditary chorea, hypothyroidism and a pituitary mass in a UK family and review of the literature. Cerebellum 13:588–595. https://doi.org/10.1007/s12311-014-0570-7
doi: 10.1007/s12311-014-0570-7
pubmed: 24930029
pmcid: 4155168
Asa SL, Mete O, Perry A, Osamura RY (2022) Overview of the 2022 WHO classification of pituitary tumors. Endocr Pathol 33:6–26. https://doi.org/10.1007/s12022-022-09703-7
doi: 10.1007/s12022-022-09703-7
pubmed: 35291028
Haston S, Pozzi S, Carreno G et al (2017) MAPK pathway control of stem cell proliferation and differentiation in the embryonic pituitary provides insights into the pathogenesis of papillary craniopharyngioma. Development 144:2141–2152. https://doi.org/10.1242/dev.150490
doi: 10.1242/dev.150490
pubmed: 28506993
pmcid: 5482995
Sartoretti-Schefer S, Wichmann W, Aguzzi A, Valavanis A (1997) MR differentiation of adamantinous and squamous-papillary craniopharyngiomas. AJNR Am J Neuroradiol 18:77–87
pubmed: 9010523
pmcid: 8337875