Department of Diabetes, Endocrinology, and Metabolism, City of Hope National Medical Center, Duarte, CA 91010, USA.
Pituitary. 2012 Jun;15(2):146-9. doi: 10.1007/s11102-011-0352-x.
The diagnosis of a sellar plasmacytoma is often missed and is mistaken for a non functioning pituitary adenoma. We reviewed the literature on reported cases of sellar plasmacytoma in order to identify its clinical presentation, laboratory, radiological and pathological characteristics. We describe the management of these cases after the correct diagnosis was made and provide insight to preoperative diagnosis of this entity. Preoperative diagnosis may help avoid unnecessary surgical resection of an otherwise radiosensitive tumor. We also report and describe in detail a new case of sellar plasmacytoma that we have recently evaluated.
鞍区浆细胞瘤的诊断常常被漏诊,被误诊为无功能垂体腺瘤。我们回顾了已报道的鞍区浆细胞瘤病例,以明确其临床表现、实验室、影像学和病理学特征。我们描述了在做出正确诊断后的这些病例的处理方法,并提供了对该疾病术前诊断的深入了解。术前诊断可能有助于避免对原本对放疗敏感的肿瘤进行不必要的手术切除。我们还报告并详细描述了最近评估的一例新的鞍区浆细胞瘤病例。