Total resection of a solitary fibrous tumor of the sellar diaphragm: A case report

Zhong,Qisheng; Yuan,Shaoji

doi:10.3892/ol.2013.1293

Total resection of a solitary fibrous tumor of the sellar diaphragm: A case report

Authors:
- Qisheng Zhong
- Shaoji Yuan
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Affiliations: Department of Neurosurgery, General Hospital of Jinan Military Command of Chinese PLA, Jinan, Shandong 250031, P.R. China
Published online on: April 8, 2013 https://doi.org/10.3892/ol.2013.1293
Pages: 1783-1786

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Abstract

The present study reports the case of a patient with a vision impairment in the right eye. Head computed tomography revealed a round, hyperdense mass in the sellar and suprasellar regions. Pituitary gland magnetic resonance imaging (MRI) revealed isointensity on T1‑ and T2‑weighted imaging. Tumor‑enhanced scanning showed heterogeneous contrast enhancement. The initial diagnosis was that of meningioma or pituitary tumor. A total tumor resection was performed using a right pterional approach under general anesthesia. During surgery, the base of the tumor was located on the sellar diaphragm of the left anterior pituitary stalk. The pathological diagnosis was of a solitary fibrous tumor (SFT). The patient had no post‑operative diabetes insipidus or idiopathic pituitary hypofunction. The clinical experience, imaging information and pathological features of SFT in this case report may provide a reference for correct diagnosis and total resection of SFTs in the sella turcica.

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