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Sellar Neuroblastoma Mimicking Pituitary Adenoma

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Abstract.

Objective and importance: Primary intracranial neuroblastomas are rare. They generally arise in the supratentorial parenchyma or paraventricular region. Even more rare are primary sellar neuroblastomas. We present a neuroblastoma that arose in the sellar region and mimicked a non-functioning pituitary adenoma. Clinical presentation: This 33-year-old man presented with bitemporal hemianopsia. MRI showed a sellar mass with suprasellar extension mimicking a pituitary adenoma. Intervention: Because of tumor recurrence and dissemination to the cervical region, he underwent 6 operations and radiosurgery. Detailed histologic examination confirmed the diagnosis of neuroblastoma. Postoperative conventional radiotherapy was effective in reducing the size of the tumor. Conclusion: Neuroblastoma should be considered in the differential diagnosis of patients with sellar lesions.

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Authors and Affiliations

  1. Department of Hypothalamic & Pituitary Surgery, Toranomon Hospital, Minato-ku, Tokyo, Japan

    Ken-ichi Oyama & Shozo Yamada

  2. Department of Neurosurgery, Toranomon Hospital, Minato-ku, Tokyo, Japan

    Masaaki Usui & Kalman Kovacs

  3. Department of Hypothalamic & Pituitary Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan

    Ken-ichi Oyama

Authors
  1. Ken-ichi Oyama
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  2. Shozo Yamada
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  3. Masaaki Usui
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  4. Kalman Kovacs
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Correspondence to Ken-ichi Oyama.

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Oyama, Ki., Yamada, S., Usui, M. et al. Sellar Neuroblastoma Mimicking Pituitary Adenoma. Pituitary 8, 109–114 (2005). https://doi.org/10.1007/s11102-005-3328-x

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  • DOI: https://doi.org/10.1007/s11102-005-3328-x

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