Xanthogranuloma of the Sellar Region -Case Report-

• ARAI Atsushi

  Department of Neurosurgery, Kobe University Graduate School of Medicine

• NISHIHARA Masamitsu

  Department of Neurosurgery, Kobe University Graduate School of Medicine

• SASAYAMA Takashi

  Department of Neurosurgery, Kobe University Graduate School of Medicine

• AIHARA Hideo

  Department of Neurosurgery, Kobe University Graduate School of Medicine

• HOSODA Kohkichi

  Department of Neurosurgery, Kobe University Graduate School of Medicine

• ITOH Tomoo

  Department of Pathology, Kobe University Graduate School of Medicine

• SAKAGAMI Yoshio

  Department of Neurosurgery, Hyogo Prefectural Awaji Hospital

• KUWAMURA Keiichi

  Department of Neurosurgery, Hyogo Prefectural Awaji Hospital

• KOHMURA Eiji

  Department of Neurosurgery, Kobe University Graduate School of Medicine

Bibliographic Information

Other Title

• —Case Report—

Abstract

A 55-year-old woman presented with a rare xanthogranuloma of the sellar region after complaining of severe headache and visual disturbance 3 months previously. Clinical examination showed she was alert with early signs of bitemporal hemianopsia. Endocrinological examination revealed hypopituitarism. Magnetic resonance imaging showed an intrasellar mass extending into the suprasellar region and compressing the optic chiasma, which appeared homogeneously hyperintense on T₁-weighted images. Endonasal transsphenoidal resection of the tumor was performed. Histological examination disclosed granulomatous tissue with cholesterol clefts, hemosiderin deposits, fibrous tissues, and macrophages containing rich fat. The histological diagnosis was xanthogranuloma of the sellar region. Her visual symptoms recovered postoperatively although the hypopituitarism remained. Xanthogranuloma of the sellar region is rare, but must be considered in the differential diagnosis of tumors of the sellar region.<br>

Journal

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 50 (6), 488-491, 2010

  The Japan Neurosurgical Society

Keywords

• xanthogranuloma of the sellar region
• sellar tumor
• hypopituitarism
• craniopharyngioma
• pituitary adenoma

Details

• CRID: 1390001205057248640
• NII Article ID: 10030692242
• NII Book ID: AN00358613
• DOI: 10.2176/nmc.50.488
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/50/6/50_6_488/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2011023755
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed