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Salivary Gland-Like Tumor of the Sella

Published online by Cambridge University Press:  02 December 2014

Wouter van Furth ,
Harley S. Smyth ,
Eva Horvath ,
Kalman Kovacs ,
Fateme Salehi  and
Michael D. Cusimano
Wouter van Furth
Affiliation:
Department of Neurosurgery, University of Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands Department of Neurosurgery, University of Toronto, Toronto, Canada
Harley S. Smyth
Affiliation:
Department of Neurosurgery, University of Toronto, Toronto, Canada
Eva Horvath
Affiliation:
Pathology, University of Toronto, Toronto, Canada
Kalman Kovacs
Affiliation:
Pathology, University of Toronto, Toronto, Canada
Fateme Salehi
Affiliation:
Department of Neurosurgery, University of Toronto, Toronto, Canada Pathology, University of Toronto, Toronto, Canada
Michael D. Cusimano
Affiliation:
Department of Neurosurgery, University of Toronto, Toronto, Canada
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Tumors arising in the sellar region are predominantly benign, non-invasive pituitary adenomas. Invasive pituitary adenomas (approximately 35 % of the pituitary adenomas) and pituitary carcinomas (0.1 – 0.5 %) arise from the same cells in the pituitary gland as the benign tumors, but have different pathology and biological behavior. A wide variety of nonadenomatous lesions involve the sellar region. These include tumors that arise specifically from sellar and suprasellar structures, as well as those that are also found elsewhere in the CNS (e.g. meningioma, glioma, metastasis, etc.). Typical nonadenomatous tumors that originate in the sellar region are craniopharyngioma and Rathke’s cleft cyst. The purpose of this paper is to describe another nonadenomatous tumor specific to the sellar region, a salivary gland-like tumor, and review the literature on this subject. This case report will also illustrate the management decisions regarding a patient with multiple medical issues and an aggressive sellar tumor.

Type
Peer Reviewed Letter
Information
Canadian Journal of Neurological Sciences , Volume 34 , Issue 4 , November 2007 , pp. 478 - 482
Copyright
Copyright © The Canadian Journal of Neurological 2007

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