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Journal of Korean Neurosurgical Society 2007;41(6): 425-428.
Recurrent Sellar and Suprasellar Hemangiopericytoma.
Myung Hwan Han, Young Dae Cho, Young Don Kim, Dae Hyun Kim
Department of Neurosurgery, Daegu Catholic University School of Medicine, Daegu, Korea. aronnn@empal.com
ABSTRACT
Hemangiopericytoma (HPC) is a rare tumor with uncommon location in the central nervous system. We report a rare case of sellar and suprasellar HPC mimicking pituitary adenoma in a patient initially seen with the symptoms of bitemporal hemianopsia, headache, and panhypopituitarism. Magnetic resonance imaging of the brain revealed a contrast-enhancing soft tissue mass arising from the pituitary fossa, with apparent compression of the chiasm and involving the cavernous sinus. Subtotal resection of the tumor was achieved via a pterional approach. Histopathological examination identified the tumor as a HPC. Nine years later, the tumor recurred. To our knowledge, this is the first reported case of sellar and suprasellar HPC in Korea.
Key Words: Hemangiopericytoma; Sellar; Suprasellar; Recurrent
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