Intrasellar salivary gland-like pleomorphic adenoma: Case report

Satoshi Takahashi, Shuji Mikami, Takekazu Akiyama, Takeshi Kawase

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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
Pages (from-to)E562-E565
JournalNeurosurgery
Volume68
Issue number2
DOIs
Publication statusPublished - 2011 Feb 1

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Keywords

  • Pleomorphic adenoma
  • Salivary gland
  • Sellar region tumor

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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