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Malignant Lymphoma in the Parasellar Region
Joint Authors
Yamamoto, Tetsuya
Okoshi, Yasushi
Ishikawa, Eiichi
Koiso, Takao
Akutsu, Hiroyoshi
Takano, Shingo
Matsumura, Akira
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The entity of pituitary (sellar or parasellar) lymphoma includes primary pituitary lymphoma (PPL) and secondary pituitary lymphoma (SPL).
The latter has an involvement of systemic lymphoma.
Both of these lymphomas are extremely rare.
We describe a patient with SPL showing a good prognosis.
A 78-year-old woman presented with diplopia, left ptosis, and back pain.
Magnetic resonance (MR) imaging revealed a parasellar mass lesion extending to the upper clivus and another mass lesion with compression fracture of the Th3 vertebral body.
Transsphenoidal exploration was performed, and it showed diffuse large B-cell lymphoma.
Based on the positive tumor cells in the following bone marrow aspiration and hepatosplenomegaly in computed tomography (CT) findings, this patient was diagnosed as having a pituitary involvement of systemic lymphoma.
After chemotherapy, she achieved complete remission for 4 years.
The entity of pituitary lymphoma is extremely rare.
Nineteen cases of PPL and 16 cases of SPL have been reported.
Generally, clinical and radiological diagnosis was difficult because there are no specific findings.
Therefore, biopsy was necessary in all of the cases.
T2 hypointensity of a lesion in MR imaging in addition to an elevated serum level of soluble interleukin-2 receptor (sIL-2R) in a patient with a sellar lesion can be useful clues for the differential diagnosis of this rare disease.
American Psychological Association (APA)
Koiso, Takao& Akutsu, Hiroyoshi& Takano, Shingo& Yamamoto, Tetsuya& Ishikawa, Eiichi& Okoshi, Yasushi…[et al.]. 2014. Malignant Lymphoma in the Parasellar Region. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-495487
Modern Language Association (MLA)
Koiso, Takao…[et al.]. Malignant Lymphoma in the Parasellar Region. Case Reports in Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-495487
American Medical Association (AMA)
Koiso, Takao& Akutsu, Hiroyoshi& Takano, Shingo& Yamamoto, Tetsuya& Ishikawa, Eiichi& Okoshi, Yasushi…[et al.]. Malignant Lymphoma in the Parasellar Region. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-495487
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-495487