Intrasellar Salivary Gland-Like Pleomorphic Adenoma: Case Report
| Autor: | Takeshi Kawase, Takekazu Akiyama, Shuji Mikami, Satoshi Takahashi |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Pathology medicine.medical_specialty Adenoma medicine.medical_treatment Adenoma Pleomorphic Brain tumor Optic chiasm Radiosurgery Pleomorphic adenoma medicine Humans Pituitary Neoplasms Craniotomy Salivary gland business.industry Calcinosis Middle Aged medicine.disease medicine.anatomical_structure Sella turcica Surgery Neurology (clinical) Neoplasm Recurrence Local Differential diagnosis business |
| Zdroj: | Neurosurgery. 68:E562-E566 |
| ISSN: | 0148-396X |
| Popis: | Background and importance We present a rare case of a patient with intrasellar salivary gland-like pleomorphic adenoma and review the 2 previously reported cases of the clinical entity to identify their common clinical features. Clinical presentation A 56-year-old Asian man visited our hospital with a chief complaint of visual disturbance caused by brain tumor that filled up the sella turcica with suprasellar extension. The patient underwent craniotomy via a left pterional approach, and the subdural, intracranial portion of the tumor was totally removed, with every artery and nerve preserved. Pathological diagnosis of the tumor was intrasellar salivary gland-like pleomorphic adenoma. Three years after the operation, the patient remains free from tumor recurrence. Conclusion Tumors in all 3 reported cases of intrasellar salivary gland-like pleomorphic adenoma, including the present case, showed suprasellar extension and compressed optic chiasm that resulted in visual disturbance of the patients. A calcified region inside the tumor on computed tomographic scanning was also a common finding. Differential diagnosis of intrasellar salivary gland-like pleomorphic adenomas should be considered in patients with calcified intrasellar tumors with suprasellar extension. The clinical entity seems to show good prognosis if surgically removed. |
| Databáze: | OpenAIRE |
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