Métellus P, Fuentes S, Figarella-Branger D, Dufour H, Grisoli F
Service de Neurochirurgie, Hôpital de La Timone, Marseille.
Neurochirurgie. 2002 Dec;48(6):522-6.
A 64-year-old man presented to his general practitioner with an history of headaches and recent diplopia. Neuroradiological investigation showed a sphenoid sinus mass involving the sella and the clivus. Diagnosis of non-Hodgkin lymphoma was made via a transsphenoidal approach. The patient subsequently underwent a 6-month course of chemotherapy (M COPPA protocol) followed by 50 Gy locoregional radiotherapy. At three years follow-up the patient was in complete clinical and radiological remission. This case underscores the importance of thorough radiological work-up for accurate identification of tumor masses involving the pituitary fossa and provides an opportunity to review the literature on the management of this rare entity.
一名64岁男性因头痛及近期复视症状就诊于全科医生处。神经放射学检查显示蝶窦肿物累及蝶鞍和斜坡。经蝶窦入路确诊为非霍奇金淋巴瘤。该患者随后接受了为期6个月的化疗（M COPPA方案），之后进行了50 Gy的局部区域放疗。随访三年时，患者临床及影像学完全缓解。该病例强调了全面的放射学检查对于准确识别累及垂体窝肿瘤肿块的重要性，并提供了一个回顾关于这一罕见疾病治疗文献的机会。
