Background: The most common cause of hypopituitarism is pituitary adenoma. However, in the case of suprasellar masses different etiologies are possible. We report an unusual case of primary suprasellar lymphoma presented with hypopituitarism.
Case Presentation: A 26 year old woman presented with amenorrhea, galactorrhea and neurological disorders. Also, the laboratory work-up revealed partial hypopituitarism. The magnetic resonance imaging of the head showed a suprasellar mass. A presumptive diagnosis of granulomatous processes was made and the patient was given steroid therapy. Repeated brain MRI detected new lesions in the brain with regression of the suprasellar mass. Stereotactic biopsy of the paraventricular lesion revealed the diagnosis of B-cell lymphoma.
Conclusion: This case presentation reports a rare cause of hypopituitarism. Primary suprasellar lymphoma is extremely rare and represented a real diagnostic challenge. Besides, suprasellar masses are varied in aetiology and can present diagnostic problems for a radiologist. Also, because of the increased incidence of PCNSL, lymphoma must be kept in mind in the differential diagnosis of lesions in the suprasellar region.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006376 | PMC |
| http://dx.doi.org/10.1186/1472-6823-10-19 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A rare case of huge intracranial yolk sac tumor presenting as an orbital mass in an infant: case report and literature review.
Discov Oncol
December 2024
Department of Radiology, Addis Ababa University, Addis Ababa, Ethiopia.
Primary intracranial yolk sac tumor (YST) with orbital involvement is an exceedingly rare extragonadal germ cell tumor, with only a limited number of cases reported in the literature. Clinically, primary intracranial yolk sac tumor with orbital involvement may present with symptoms that mimic more common benign or malignant orbital disorders in children, potentially leading to diagnostic delays that can adversely impact survival. Diagnostic imaging modalities, including computed tomography (CT) and magnetic resonance imaging (MRI), are instrumental for assessing the tumor's size, precise localization, and extent.
View Article and Find Full Text PDFClinical response to dabrafenib plus trametinib in BRAF V600E mutated papillary craniopharyngiomas: a case report and literature review.
Front Oncol
November 2024
Beaumont Hospital, Beaumont Health, Royal Oak, MI, United States.
Papillary craniopharyngiomas are rare tumors prevalent to the precision oncology world due to their high rate of BRAF V600E mutations. Symptoms include vision loss, neuroendocrine dysfunction, and cognitive dysfunction. Treatment involves an interdisciplinary approach with surgery, radiation, and systemic treatment.
View Article and Find Full Text PDFVisual recovery following pituitary adenoma surgery: prognostic value of optical coherence tomography and suprasellar tumour volume.
Can J Ophthalmol
November 2024
University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Department of Endocrinology and Metabolism, Istanbul, Turkey.
Objective: The aim of this study is to investigate the effects of preoperative parameters such as retinal nerve fiber layer (RNFL) thickness, visual acuity (VA), visual field (VF), and tumour volume on postoperative outcomes in patients with pituitary adenoma.
Design: Retrospective study.
Participants: Two-hundred and seventy-six eyes from 142 patients were included.
Uninostril endonasal trans-sphenoidal approach for pituitary macroadenoma-Operative nuances step by step.
J Clin Neurosci
December 2024
Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. Electronic address:
Article Synopsis
- The Uninostril Endonasal Transsphenoidal approach preserves nasal anatomy, allowing for normal breathing and fewer nasal complications post-surgery, while providing simplified access and preserving the other nostril for potential use.
- It is particularly suitable for certain types of pituitary adenomas and focuses on proper patient positioning to facilitate optimal tumor removal and minimize bleeding.
- However, this technique does face challenges like a limited field of view and potential difficulties in instrument maneuverability, which may necessitate converting to the Bi-nostril approach if complications arise.
Cerebellopontine angle craniopharyngioma in familial adenomatous polyposis.
Surg Neurol Int
September 2024
Department of Neurosurgery, Salford Royal NHS Foundation Trust, Salford, United Kingdom.
Article Synopsis
- Craniopharyngiomas are usually benign tumors located in the sellar and suprasellar regions, but rare instances of ectopic tumors can occur, particularly associated with familial adenomatous polyposis (FAP).
- The text discusses a case of an ectopic cerebellopontine angle (CPA) craniopharyngioma in a patient with FAP, marking it as the fifth such documented case.
- This case underlines the importance of considering craniopharyngioma in differential diagnoses for CPA tumors, especially in patients with FAP, suggesting a potential link to genetic mutations.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!