Epithelioid pituicytoma: An unusual case report.

التفاصيل البيبلوغرافية
العنوان: Epithelioid pituicytoma: An unusual case report.
المؤلفون: Vellutini EAS; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Becker PHP; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil., Godoy LF; Hospital Sírio Libanês, São Paulo, Brazil., Guerreiro NFC; Hospital Sírio Libanês, São Paulo, Brazil., Mattedi RL; Hospital Sírio Libanês, São Paulo, Brazil., de de Oliveira MF; Neurosurgery Department, DFV Neuro, São Paulo, Brazil.; Hospital Sírio Libanês, São Paulo, Brazil.; Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
المصدر: Surgical neurology international [Surg Neurol Int] 2018 Jul 24; Vol. 9, pp. 145. Date of Electronic Publication: 2018 Jul 24 (Print Publication: 2018).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Scientific Scholar LLC Country of Publication: United States NLM ID: 101535836 Publication Model: eCollection Cited Medium: Print ISSN: 2229-5097 (Print) Linking ISSN: 21527806 NLM ISO Abbreviation: Surg Neurol Int Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Pittsford, NY, USA : Scientific Scholar LLC
Original Publication: Mumbai : Medknow
مستخلص: Background: Pituicytomas are considered World Health Organization Grade I malignancies. Until September 2017, a total of 81 cases of pituicytomas were diagnosed and described in literature. We present such a case in which histopathology shows an epithelioid pattern, a rare variant of pituicytoma. As far as we know, this is only the second such case described in the literature.
Case Description: A 61-year-old male patient presented with complaints of progressive decrease in visual acuity for about 7 months, worse on the left side. Laboratory and endocrinological investigation returned normal values. Magnetic resonance imaging revealed a mixed solid-cystic lesion, measuring about 3.1 × 2.2 × 2.9 cm. The lesion presented with intermediate signal intensity in T1 and T2 sequences and showed avid postcontrast enhancement. The patient underwent resection through a left pterional approach. Pathology revealed a glial neoplasm with an epithelioid pattern and moderate cellularity with rounded-elongated cell nuclei and with a broad eosinophilic cytoplasm. Absence of cellular pleomorphism, any mitotic figures, or areas of necrosis was noted.
Conclusion: The epithelioid variant of pituicytomas differs from the commonly encountered forms of this tumor which typically present in a fascicular pattern. Microsurgical resection is the treatment of choice. However, in many cases, subtotal resection was performed because of a considerable risk for neurovascular injuries.
Competing Interests: There are no conflicts of interest.
References: Neuropathology. 2016 Oct;36(5):432-440. (PMID: 26919073)
Neurosurgery. 2008 Jul;63(1):E173-4; discussion E174. (PMID: 18728556)
Oncol Lett. 2016 Nov;12(5):3417-3422. (PMID: 27900014)
AJNR Am J Neuroradiol. 2011 Dec;32(11):2067-72. (PMID: 21960498)
Neuropathol Appl Neurobiol. 2018 Feb;44(2):163-171. (PMID: 28295484)
Pituitary. 2015 Feb;18(1):150-8. (PMID: 24823438)
Acta Neuropathol. 2007 Aug;114(2):97-109. (PMID: 17618441)
Clin Neurol Neurosurg. 2013 Oct;115(10):1943-50. (PMID: 23962759)
Neurosurgery. 2004 Mar;54(3):753-7; discussion 757-8. (PMID: 15028154)
World Neurosurg. 2012 Jul;78(1-2):191.E1-7. (PMID: 22120271)
فهرسة مساهمة: Keywords: Brain neoplasm; pathology; pituicytoma treatment
تواريخ الأحداث: Date Created: 20180815 Latest Revision: 20220331
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6069369
DOI: 10.4103/sni.sni_319_17
PMID: 30105139
قاعدة البيانات: MEDLINE
الوصف
تدمد:2229-5097
DOI:10.4103/sni.sni_319_17