HOME > Weekly Case > Weekly Case
Weekly Case
종결
Case No. 575
2020-12-01~2020-12-31
출제자 : 유인선
Hit : 719
| Period | 2020-12-01~2020-12-31 |
|---|---|
| Diagnosis | Olfactory neuroblastoma |
| Gender |
|
| Age | 50 |
| Clinical information | F/50 C.C> 3주 전부터 눈이 흐리게 보임 |
| Discussion | Olfactory neuroblastoma 1) Introduction -Also called esthesioneuroblastoma -Rare malignant neuroectodermal tumor that arises from the superior nasal cavity -Tumor of neural crest origin that probably arise from basal cells of the olfactory epithelium 2) Primary sellar neuroblastoma mimicking pituitary adenoma -Extremely rare, origin remains unclear -Tumors arise from the ganglion of Locy which grows between the olfactory fossa and the telencephalic vesicle -Neuronal transformation from pituitary epithelium -Dupuy et al. reviewed 9 patients with primary sellar neuroblastomas; primarily in women, mean age of 40 years, 98%, bilateral hemianopsia, 66%, hyperprolactinemia, 3) Imaging findings: -A sellar mass with or without supra- or parasellar extension -Variable signal intensities on T1- and T2 WI with inconsistent enhancement patterns -Mimicking non-secretory pituitary adenoma, tuberculum sellae / diaphragma sellae meningioma facing a clinicopathological entity of “pituitary neuroblastoma.” |
| Correct answer |
Correct AnswerSemi-Correct Answer |