雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Solitary Fibrous Tumor in the Sella Turcica Kiyoharu SHIMIZU 1 , Atsushi TOMINAGA 1 , Yasuyuki KINOSHITA 1 , Satoshi USUI 1 , Kazuhiko SUGIYAMA 2 , Kaoru KURISU 1 1Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University 2Department of Clinical Oncology and Neuro-oncology Program, Hiroshima University Hospital Keyword: solitary fibrous tumor , sella turcica , MRI , pituitary adenoma , meningioma pp.883-889
Published Date 2013/10/10
DOI https://doi.org/10.11477/mf.1436102093
  • Abstract
  • Look Inside
  • Reference

 A 64-year-old male presented with an incidental tumor in the sella turcica during a brain medical checkup. Because he lacked any neurological symptoms or signs of pituitary dysfunction, the patient did not undergo surgery. Three years later, visual disturbances developed, including poor eyesight and visual field defects. The response to the growth hormone (GH) releasing peptide-2 demonstrated severe GH deficiency. MRI revealed an enlarged tumor appearing as a mosaic pattern of high and very low intensity on T2-weighted imaging. The region of very low intensity on T2-weighted imaging exhibited enhancement after T1 gadolinium-DTPA administration. The tumor was totally removed via the microscopic trans-sphenoidal approach in combination with endoscopic observation. The hard tumor adhered to the dura of the sella turcica and the medial wall of the left cavernous sinus. Histological verification confirmed a solitary fibrous tumor (SFT). Fourteen months after the operation, MRI revealed no recurrent tumors. SFT infrequently occurs in the sella turcica;however it should be included in the differential diagnosis in cases of enhanced tumors with marked low intensity on T2-weighted imaging.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有