Transsphenoidal removal of intrasellar pilocytic astrocytoma |
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| Institution: | 1. Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, 1400 Holcombe Boulevard, Houston, TX 77030, USA;2. Department of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA;3. Department of Pediatrics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA;1. Department of Neurology, National Institute of Mental Health & Neurosciences, Hosur Road, Bangalore 560029, Karnataka, India;2. Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, Karnataka, India;1. Department of Radiology, Atrium Medical Center Parkstad, Henri Dunantstraat 5, 6419 PC Heerlen, The Netherlands;2. Department of Internal Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands;3. Department of Radiology, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands;1. Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, Gonda 8-214, Rochester, MN 55901, USA;2. Department of Anatomic Pathology, Mayo Clinic, Rochester, MN, USA;3. Department of Radiology, Mayo Clinic, Rochester, MN, USA |
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| Abstract: | A 26-year-old man with a sellar pilocytic astrocytoma had a recurrent non-enhancing mass located in the sellar/suprasellar region visible on MRI. Due to tumor progression and worsening vision, the mass was completely resected through a transsphenoidal approach. Postoperatively, the patient’s vision improved and imaging showed complete removal of the tumor and optic pathway decompression. Pilocytic astrocytomas originating in suprasellar structures can intrude into the sella, and should be included in the differential diagnosis of intrasellar tumors. The transsphenoidal approach can be effective for resecting such tumors. |
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| Keywords: | Pilocytic astrocytoma Sella turcica Transsphenoidal surgery |
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