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 language | English |
|---|---|
| Journal | Neurosurgery |
| Volume | 68 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2011 Feb |
Fingerprint
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 journal › Article
}
TY - JOUR
T1 - Intrasellar salivary gland-like pleomorphic adenoma
T2 - Case report
AU - Takahashi, Satoshi
AU - Mikami, Shuji
AU - Akiyama, Takekazu
AU - Kawase, Takeshi
PY - 2011/2
Y1 - 2011/2
N2 - 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.
AB - 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.
KW - Pleomorphic adenoma
KW - Salivary gland
KW - Sellar region tumor
UR - http://www.scopus.com/inward/record.url?scp=79951669897&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79951669897&partnerID=8YFLogxK
U2 - 10.1227/NEU.0b013e3182020856
DO - 10.1227/NEU.0b013e3182020856
M3 - Article
C2 - 21135727
AN - SCOPUS:79951669897
VL - 68
JO - Neurosurgery
JF - Neurosurgery
SN - 0148-396X
IS - 2
ER -