Endoscopic endonasal approach for resection of sellar leiomyosarcoma metastasis: illustrative case

To the authors' knowledge, this is the first documented case of LMS metastasis to the sella. Pituitary carcinoma or metastases to the sellar region should be in the differential among patients with sellar region tumors with a rapid growth rate, bony erosion, or findings of lesions in the upper cervical lymph nodes or soft tissue. Tumors that show significant interval growth should raise suspicion for nonadenomatous lesions, and surgical intervention should be considered even in the absence of endocrinological dysfunction or cranial neuropathies. https://thejns.org/doi/10.3171/CASE2435.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2024-09-09
DOI
https://doi.org/10.3171/case2435
Primary Topic
Head and Neck Surgical Oncology
Type
article
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article

Endoscopic endonasal approach for resection of sellar leiomyosarcoma metastasis: illustrative case

Kyle Wu, Peter Kobalka, Guilherme Finger, Matthieu D Weber et al.
Journal of Neurosurgery Case Lessons
Head and Neck Surgical Oncology
article

Endoscopic endonasal approach for resection of sellar leiomyosarcoma metastasis: illustrative case

Kyle Wu, Peter Kobalka, Guilherme Finger, Matthieu D Weber, Kyle K. VanKoevering, Joshua Vignolles‐Jeong, Daniel M. Prevedello, Joravar Dhaliwal, Lucas P. Carlstrom
article en

Abstract

To the authors' knowledge, this is the first documented case of LMS metastasis to the sella. Pituitary carcinoma or metastases to the sellar region should be in the differential among patients with sellar region tumors with a rapid growth rate, bony erosion, or findings of lesions in the upper cervical lymph nodes or soft tissue. Tumors that show significant interval growth should raise suspicion for nonadenomatous lesions, and surgical intervention should be considered even in the absence of endocrinological dysfunction or cranial neuropathies. https://thejns.org/doi/10.3171/CASE2435.

Journal of Neurosurgery Case LessonsVol. 8(11)
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (US), Neurological Surgery (US), The Ohio State University (US)
Openalex Percentile: Top 72%
Head and Neck Surgical Oncology
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Endoscopic endonasal approach for resection of sellar leiomyosarcoma metastasis: illustrative case — Kyle Wu, Peter Kobalka, et al. · Journal of Neurosurgery Case Lessons (2024) | TGRS Research Map | TGRS