Solitary plasmacytoma of the sphenoid sinus involving the pituitary fossa: A case report and review of the literature

Marco Losa, Maria Rosa Terreni, Moreno Tresoldi, Magda Marcatti, Adriana Campi, Fabio Triulzi, Giuseppe Scotti, Massimo Giovanelli

Research output: Contribution to journalArticlepeer-review

Abstract

A rare case of solitary plasmacytoma of the sphenoid sinus involving the pituitary fossa is reported. A 50-year-old woman with a history of diplopia and a mass in the sphenoid sinus and the sellar region, documented by computed tomography, was referred to our department with a presumed diagnosis of nonfunctioning pituitary adenoma. The clinical and biochemical characteristics were unrevealing, but magnetic resonance imaging examination demonstrated the extrapituitary origin of the lesion. The patient was operated on by the transsphenoidal approach, and the lesion was histologically diagnosed as a plasmacytoma. Review of the literature disclosed II previously described cases of myelomatous disease presenting clinically as a pituitary adenoma. Our case demonstrates that magnetic resonance imaging investigation may help in distinguishing the extrapituitary origin of a mass involving the pituitary fossa.

Original languageEnglish
Pages (from-to)388-393
Number of pages6
JournalSurgical Neurology
Volume37
Issue number5
DOIs
Publication statusPublished - 1992

Keywords

  • Magnetic resonance imaging
  • Pituitary tumors
  • Plasmacytoma
  • Transsphenoidal surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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