Neuroimaging characteristics and growth pattern on magnetic resonance imaging in a 52-year-old man presenting with pituicytoma: a case report

Autor: Kosuge Yasushi, Hiramoto Jun, Morishima Hiroyuki, Tanaka Yuichiro, Hashimoto Takuo
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 6, Iss 1, p 306 (2012)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-6-306
Popis: Abstract Introduction Pituicytoma is a rare neoplasm of the neurohypophysis. To the best of our knowledge there have been no reports of pituicytoma in which long-term magnetic resonance imaging observation was performed. We calculated the doubling time of the tumor volume and described the growth pattern of a pituicytoma. Case presentation A 52-year-old Japanese man with a history of decreased libido was found to have a sellar and suprasellar mass. He underwent transsphenoidal surgery, but only a small specimen was obtained because of intraoperative bleeding. The tentative histological diagnosis was schwannoma. He noticed bitemporal hemianopsia 7 years later. A follow-up magnetic resonance imaging disclosed a tumor volume doubling time of 3830 days. Transcranial gross-total tumor resection was performed. The lesion consisted of elongated and plump tumor cells that were arranged in a fascicular or storiform pattern and were positive for S-100 protein and focally positive for glial fibrillary acidic protein. The final histological diagnosis was pituicytoma. Conclusion Pituicytoma is a slow-growing tumor, but the growth rate may change during follow-up.
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