Intrasellar pilocytic astrocytomas: Clinical, imaging, pathological, and surgical findings

Jonathan M. Parish, Jose Bonnin, Troy D. Payner, Julius M. Goodman, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

Abstract

A pilocytic astrocytoma is not usually considered in the differential diagnosis of an intrasellar tumor. An awareness of this tumor as primarily an intrasellar entity is important to avoid confusion during its diagnosis. We retrospectively examined the records of 631 patients treated at our institution between 2006 and 2010 who underwent transsphenoidal resection of pituitary tumors and identified those diagnosed with pilocytic astrocytoma. We excluded patients who harbored a pituicytoma. We also searched the literature for patients with a histologically confirmed diagnosis of intrasellar pilocytic astrocytoma. Only two patients in our series harbored intrasellar tumors and had a histologic diagnosis of pilocytic astrocytoma. We also found two other cases in the literature that met our criteria. Pilocytic astrocytoma should be considered in the differential diagnosis of an intrasellar lesion. An understanding of this tumor's radiological features can avoid diagnostic confusion.

Original languageEnglish
Pages (from-to)653-658
Number of pages6
JournalJournal of Clinical Neuroscience
Volume22
Issue number4
DOIs
StatePublished - Apr 1 2015

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Astrocytoma
Neoplasms
Differential Diagnosis
Pituitary Neoplasms

Keywords

  • Intrasellar
  • Pilocytic astrocytoma
  • Pituitary fossa
  • Transsphenoidal surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Intrasellar pilocytic astrocytomas : Clinical, imaging, pathological, and surgical findings. / Parish, Jonathan M.; Bonnin, Jose; Payner, Troy D.; Goodman, Julius M.; Cohen-Gadol, Aaron.

In: Journal of Clinical Neuroscience, Vol. 22, No. 4, 01.04.2015, p. 653-658.

Research output: Contribution to journalArticle

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