Open AccessCASE OF THE MONTH April 1996 ‐ Pituitary Tumor
Author(s) -
Kohler Lisa
Publication year - 1996
Publication title -
brain pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.986
H-Index - 132
eISSN - 1750-3639
pISSN - 1015-6305
DOI - 10.1111/j.1750-3639.1996.tb00884.x
Subject(s) - germinoma , medicine , diplopia , germ cell tumors , diabetes insipidus , dermoid cyst , teratoma , sella turcica , radiology , craniopharyngioma , anatomy , surgery , radiation therapy , chemotherapy
A 20 year old man presented with intermittent diplopia and difficulty focusing his leftward gaze during the past month. His past medical history was only significant for a dermoid cyst in the posterior fossa which was removed at age 10. MRI scans demonstrated a perisellar mass, eroding the sphenoid and surrounding the right carotid artery as well as extending into the sella. A transsphenoidal endoscopic resection was performed. The tumor was diagnosed as a germinoma (seminoma). Most germinomas in the brain arise in the pineal, however, germ cell neoplasms (including teratomas, germinomas and non-germinomatous germ cell neoplasms) are not unknown in the perisellar region and typically arise in the hypothalamic region and present with diabetes insipidus, visual disturbances or hypopituitism.