Samadian Mohammad, Mousavinejad Seyad Ali, Khoshsirat Shahrokh, Dehghan Mahmood, Sharifi Guive, Ebrahimzadeh Kaveh, Rezaei Omidvar
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of ENT, Skull Base Research Center, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Asian J Neurosurg. 2020 Feb 25;15(1):210-213. doi: 10.4103/ajns.AJNS_166_19. eCollection 2020 Jan-Mar.
Spindle cell oncocytoma (SCO) is a rare tumor of adenohypophysis, arising from the sellar region. So far, about 35 cases of SCO in the sellar region have been reported. In this report, we present the first case of pediatric SCO and review the literature concerning the tumor origin, clinical presentations, radiological features, and treatment modalities. An 8-year-old male was referred to our clinic with progressive visual loss in the left eye and headache over the past 6 months. Cranial magnetic resonance imaging revealed a solid adenohypophysis mass with suprasellar extension, as well as compression and displacement of the optic chiasm. The patient underwent endoscopic trans-sphenoidal resection of the tumor. The tumor was diagnosed as SCO based on the histological study. He did not receive radiation therapy. The patient's condition remained stable, with no radiological recurrence in the past follow-up 2 years after the surgery.
梭形细胞嗜酸细胞瘤（SCO）是一种罕见的腺垂体肿瘤，起源于鞍区。迄今为止，已报道约35例鞍区SCO病例。在本报告中，我们呈现了首例儿童SCO病例，并回顾了有关肿瘤起源、临床表现、影像学特征和治疗方式的文献。一名8岁男性因过去6个月左眼渐进性视力丧失和头痛转诊至我院。头颅磁共振成像显示腺垂体有一实性肿块，向上延伸至鞍上，对视交叉产生压迫和移位。患者接受了肿瘤的内镜经蝶窦切除术。根据组织学研究，肿瘤被诊断为SCO。他未接受放射治疗。患者病情保持稳定，术后2年的随访中未出现影像学复发。
