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Sellar plasmacytoma with massive bleeding during surgery.

Dong Hoon Lee1, Jo Heon Kim2, Woo Youl Jang3

  • 1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.

Cancer Treatment and Research Communications
|December 18, 2021
PubMed
Summary
This summary is machine-generated.

Sellar plasmacytoma is rare and hard to distinguish from pituitary tumors. Massive bleeding is a key differentiating factor, alongside cranial nerve palsy and sellar floor destruction.

Keywords:
HemorrhageMultiple myelomaPituitary neoplasmsPlasma cell neoplasmsPlasmacytoma

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Area of Science:

  • Neuro-oncology
  • Endocrinology
  • Pathology

Background:

  • Sellar plasmacytoma is an exceptionally rare tumor.
  • Distinguishing sellar plasmacytoma from pituitary tumors poses clinical and radiological challenges.

Purpose of the Study:

  • To identify key differentiating factors between sellar plasmacytoma and pituitary tumors.
  • To propose additional diagnostic characteristics for sellar plasmacytoma.

Main Methods:

  • Review of clinical presentations and radiological findings of sellar masses.
  • Comparison of diagnostic features between confirmed cases of sellar plasmacytoma and pituitary tumors.

Main Results:

  • Cranial nerve palsy, preserved pituitary hormone function, sellar floor destruction, and enhanced contrast uptake are noted differentiators.
  • Sellar plasmacytoma exhibits significant bleeding potential, unlike pituitary tumors.

Conclusions:

  • Established clinical and radiological features aid in differentiating sellar plasmacytoma from pituitary tumors.
  • Massive bleeding tendency is a crucial, previously underemphasized characteristic for diagnosing sellar plasmacytoma.