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종결 Case No. 539 2019-12-01~2019-12-31
출제자 : 유인선 Hit : 622
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Period 2019-12-01~2019-12-31
Diagnosis Pituicytoma
Gender
  • M
  •  
  • F
Age 65
Clinical information F/65
3개월 전부터 시작된 Poor oral intake, general weakness
진단은?
Discussion Pituicytoma
• Introduction
• Rare tumor arising from ‘pituicytes’, specialized glial cells in neurohypophysis and infundibulum
• Rare benign slow growing tumor
• 2015; 57 cases reported
• Low grade (WHO grade I) with spindle cell glial cell tumor with rich capillary network
• M/C : 5th decade
• Imaging findings
• Enhancing sellar or suprasellar mass arising from neurohypophysis or infundibulum -> Nonspecific
• CT; A solid, well demarcated, hyperdense
• MRI; T1 iso SI, T2 high SI
• Size : variable, well circumscribed with rich vascularity
• Homogeneously well enhancing
• Necrosis, cystic change : rare
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