Open AccessTotal resection of a solitary fibrous tumor of the sellar diaphragm: A case report
Author(s) -
Qing Zhong,
Shaoji Yuan
Publication year - 2013
Publication title -
oncology letters
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.766
H-Index - 54
eISSN - 1792-1082
pISSN - 1792-1074
DOI - 10.3892/ol.2013.1293
Subject(s) - sella turcica , medicine , magnetic resonance imaging , diaphragm (acoustics) , solitary fibrous tumor , diabetes insipidus , pituitary gland , pituitary stalk , meningioma , radiology , pathological , pituitary adenoma , pathology , adenoma , biology , physics , genetics , stem cell , cd34 , acoustics , hormone , loudspeaker
The present study reports the case of a patient with a vision impairment in the right eye. Head computed tomography revealed a round, hyperdense mass in the sellar and suprasellar regions. Pituitary gland magnetic resonance imaging (MRI) revealed isointensity on T1- and T2-weighted imaging. Tumor-enhanced scanning showed heterogeneous contrast enhancement. The initial diagnosis was that of meningioma or pituitary tumor. A total tumor resection was performed using a right pterional approach under general anesthesia. During surgery, the base of the tumor was located on the sellar diaphragm of the left anterior pituitary stalk. The pathological diagnosis was of a solitary fibrous tumor (SFT). The patient had no post-operative diabetes insipidus or idiopathic pituitary hypofunction. The clinical experience, imaging information and pathological features of SFT in this case report may provide a reference for correct diagnosis and total resection of SFTs in the sella turcica.