[Recurrence of XXXX six years after total removal of mural nodule: a case report].

@entity1893 @entity816 @entity5 @entity7241
A case of recurrent @entity1893 ( @entity1893 ) was reported. A 46-year-old male underwent total removal of mural nodule from @entity5 in the left temporal lobe in 1986. Histological diagnosis was @entity816 . There were no abnormal neurological signs or symptoms after the operation. However, 6 years after the operation he complained of strong unpleasant smell as of rotten onions and was admitted to our hospital. MRI revealed a @entity5 with a mural nodule which was enhanced markedly by @entity7241 in the same location as previous @entity5 site. He was operated upon again and @entity5 was removed with the cyst wall. Histological diagnosis was @entity1893 . Surgical procedures for removal of cystic @entity1893 has been controversial; @entity5 only, @entity5 removal with biopsy of cyst wall, or @entity5 removal with resection of cyst wall. Real reason for recurrence of this @entity5 in our case is unknown. However, since @entity816 cells were found in the biopsy specimen of the cyst wall at time of the first operation, the @entity5 might have recurred from these cells. Therefore, this time we removed not only the mural nodule but also the cyst wall, because the cyst wall peeled off easily. We would like to propose that @entity1893 cyst walls should be resected, whenever possible, in order to accomplish total @entity5 .
