Intrasellar salivary gland-like pleomorphic adenoma: Case report

Satoshi Takahashi, Shuji Mikami, Takekazu Akiyama, Takeshi Kawase

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND AND IMPORTANCE: We present a rare case of a patient with intrasellar salivary gland-like pleomorphic adenoma and review the 2 previously reported cases of the clinical entity to identify their common clinical features. CLINICAL PRESENTATION: A 56-year-old Asian man visited our hospital with a chief complaint of visual disturbance caused by brain tumor that filled up the sella turcica with suprasellar extension. The patient underwent craniotomy via a left pterional approach, and the subdural, intracranial portion of the tumor was totally removed, with every artery and nerve preserved. Pathological diagnosis of the tumor was intrasellar salivary gland-like pleomorphic adenoma. Three years after the operation, the patient remains free from tumor recurrence. CONCLUSION: Tumors in all 3 reported cases of intrasellar salivary gland-like pleomorphic adenoma, including the present case, showed suprasellar extension and compressed optic chiasm that resulted in visual disturbance of the patients. A calcified region inside the tumor on computed tomographic scanning was also a common finding. Differential diagnosis of intrasellar salivary gland-like pleomorphic adenomas should be considered in patients with calcified intrasellar tumors with suprasellar extension. The clinical entity seems to show good prognosis if surgically removed.

Original languageEnglish
JournalNeurosurgery
Volume68
Issue number2
DOIs
Publication statusPublished - 2011 Feb

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Neoplasms
Sella Turcica
Optic Chiasm
Craniotomy
Brain Neoplasms
Pleomorphic Salivary Gland Adenoma
Differential Diagnosis
Arteries
Recurrence

Keywords

  • Pleomorphic adenoma
  • Salivary gland
  • Sellar region tumor

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Intrasellar salivary gland-like pleomorphic adenoma : Case report. / Takahashi, Satoshi; Mikami, Shuji; Akiyama, Takekazu; Kawase, Takeshi.

In: Neurosurgery, Vol. 68, No. 2, 02.2011.

Research output: Contribution to journalArticle

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