The diagnosis and management of parasellar tumours of the pituitary.
@article{Kaltsas2008TheDA,
title={The diagnosis and management of parasellar tumours of the pituitary.},
author={Gregory A. Kaltsas and Jane Evanson and Alexandra Chrisoulidou and Ashley B Grossman},
journal={Endocrine-related cancer},
year={2008},
volume={15 4},
pages={
885-903
}
}The sellar and parasellar region is an anatomically complex area where a number of neoplastic, inflammatory, infectious, developmental and vascular diseases can develop. Although most sellar lesions are due to pituitary adenomas, a number of other pathologies involving the parasellar region can present in a similar manner. The diagnosis of such lesions involves a multidisciplinary approach, and detailed endocrinological, ophthalmological, neuroimaging, neurological and finally histological…
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References
SHOWING 1-10 OF 117 REFERENCES
Imaging of sellar and parasellar lesions
- MedicineClinical Neurology and Neurosurgery
- 2007
Imaging of parasellar lesions.
- MedicineEuropean radiology
- 2005
A practical short review of the most relevant CT and MRI characteristics, such as location, nature of contrast enhancement and presence of cystic components, together with clinical findings, which permit differentiation of themost frequent and less common lesions found in the parasellar region are presented.
Suprasellar haemangiopericytoma – challenges in diagnosis and treatment
- MedicineActa Neurochirurgica
- 2007
The various differential diagnoses, the importance of a preoperative suspicion of this diagnosis and management are issues discussed in this illustrated review.
Tumors metastatic to the pituitary gland: case report and literature review.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2004
A 68-yr-old man, with no history of malignancy, presented with recent onset of hypopituitarism, mild diabetes insipidus, headaches, left oculomotor nerve palsy, and progressive bilateral deterioration of visual acuity and visual fields, and died 3 months after diagnosis of primary liver tumor.
Unusual causes of sellar/parasellar masses in a large transsphenoidal surgical series.
- MedicineThe Journal of clinical endocrinology and metabolism
- 1996
Two cases in which the diagnoses were unexpected are presented in detail, one from this operative series and one who did not require surgery, to illustrate certain critical features that may aid in the evaluation of the sellar/parasellar mass.
Pituitary metastases as presenting lesions of malignancy.
- MedicineJournal of neurosurgical sciences
- 1992
The authors present two very unusual cases in which the pituitary lesions represented the onset symptoms of an otherwise unknown malignancy and suggest that the diagnosis of pituitsary metastases should be more closely considered even in the absence of a known primary tumor.
Minimally invasive biopsy of parasellar lesions: Safety and clinical applications of the endoscopic, transnasal approach
- MedicineBritish journal of neurosurgery
- 2005
The endoscopic, transnasal biopsy appears to offer a number of advantages over existing methods in selected patients as it employs the use of natural osseous corridors and minimizes the risks of negative biopsies or damage to critical neurovascular structures.
Lymphoma Metastasizing to the Pituitary: An Unusual Presentation of a Treatable Disease
- Medicine, BiologyPituitary
- 2005
Review of the English-language literature of all published cases of pituitary lymphoma in the presence of generalised disease in immunocompetent patients revealed 13 cases, with most patients having large B cell non-Hodgkin's lymphoma.
Parasellar Tumors: Suprasellar and Cavernous Sinuses
- MedicineTopics in magnetic resonance imaging : TMRI
- 2005
This article will review the presentation and imaging appearance of tumors affecting the area around the pituitary gland, including lesions affecting the suprasellar region, which include schwannomas and meningiomas.















