CC BY-NC-ND 4.0 · J Neurol Surg Rep 2017; 78(01): e26-e33
DOI: 10.1055/s-0037-1598203
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Remarkable Diagnostic Magnetic Resonance Imaging Findings in Sellar Xanthogranuloma: Report of Three First Cases in Latin America

Mario Tapia Céspedes
1   Department of Otorhinolaryngology – Head and Neck Surgery, Regional Hospital of Concepción, Concepción, Chile
,
Jaime Pinto Vargas
2   Department of Neurosurgery, Regional Hospital of Concepción, Concepción, Chile
,
Fernando Andrade Yañez
3   Department of Radiology, Regional Hospital of Concepción, Concepción, Chile
,
Loreto Spencer León
4   Department of Pathology, Regional Hospital of Concepción, Concepción, Chile
,
Pablo Álvarez Arancibia
5   Faculty of Medicine, University of Concepción, Concepción, Chile
,
Thomas Schmidt Putz
6   Department of Otorhinolaryngology - Head and Neck Surgery, University of Concepción, Chile
› Author Affiliations
Further Information

Publication History

17 July 2016

21 December 2016

Publication Date:
09 March 2017 (online)

Abstract

The sellar xanthogranuloma is a rare lesion of the sellar–parasellar region difficult to differentiate from other tumors such as craniopharyngiomas or Rathke's cleft cyst in the preoperative evaluation. As they are recently recognized as a separate entity and the few number of reports in the literature, its etiology is unknown and its impact remains uncertain. This article will describe the first three cases reported in Latin America, identified in one of them an imaging feature that may be helpful to elucidate an imaging growth pattern. Current evidence will be described regarding to the clinicopathological features, imaging diagnosis, and etiology origin theories.

 
  • References

  • 1 Le BH, Towfighi J, Kapadia SB, Lopes MB. Comparative immunohistochemical assessment of craniopharyngioma and related lesions. Endocr Pathol 2007; 18 (01) 23-30
  • 2 Rahmani R, Sukumaran M, Donaldson AM, Akselrod O, Lavi E, Schwartz TH. Parasellar xanthogranulomas. J Neurosurg 2015; 122 (04) 812-817
  • 3 Paulus W, Honegger J, Keyvani K, Fahlbusch R. Xanthogranuloma of the sellar region: a clinicopathological entity different from adamantinomatous craniopharyngioma. Acta Neuropathol 1999; 97 (04) 377-382
  • 4 Flanagan DE, Ibrahim AE, Ellison DW, Armitage M, Gawne-Cain M, Lees PD. Inflammatory hypophysitis - the spectrum of disease. Acta Neurochir (Wien) 2002; 144 (01) 47-56
  • 5 Reithmeier T, Trost HA, Wolf S, Stölzle A, Feiden W, Lumenta CB. Xanthogranuloma of the Erdheim-Chester type within the sellar region: case report. Clin Neuropathol 2002; 21 (01) 24-28
  • 6 Yonezawa K, Shirataki K, Sakagami Y, Kohmura E. Panhypopituitarism induced by cholesterol granuloma in the sellar region--case report. Neurol Med Chir (Tokyo) 2003; 43 (05) 259-262
  • 7 Burt MG, Morey AL, Turner JJ, Pell M, Sheehy JP, Ho KK. Xanthomatous pituitary lesions: a report of two cases and review of the literature. Pituitary 2003; 6 (03) 161-168
  • 8 Murao K, Imachi H, Ishida T. , et al. [Panhypopituitalism induced by xanthogranuloma of the sellar region]. Nippon Naika Gakkai Zasshi 2005; 94 (12) 2597-2599
  • 9 Jung CS, Schänzer A, Hattingen E, Plate KH, Seifert V. Xanthogranuloma of the sellar region. Acta Neurochir (Wien) 2006; 148 (04) 473-477
  • 10 Tajima T, Sawamura Y, Ishizu K, Tsubaki J. Two children with xanthogranuloma of the sellar region. Clin Pediatr Endocrinol 2006; 15 (03) 85-91
  • 11 Pavón de Paz I, Peñalver Talavera D, Olivar Roldán J. , et al. Sellar xanthogranuloma. Endocrinol Nutr 2008; 55 (02) 102-106 . Epub 2008 Oct 14. [Article in English]
  • 12 Moriya S, Nimura T, Utsunomiya A. , et al. Xanthogranuloma of the sellar region: a case report and review of literatures. Neurol Surg (Tokyo) 18: 1024-1028
  • 13 Sugata S, Hirano H, Yatsushiro K, Yunoue S, Nakamura K, Arita K. Xanthogranuloma in the suprasellar region. Neurol Med Chir (Tokyo) 2009; 49 (03) 124-127
  • 14 Arai A, Nishihara M, Sasayama T. , et al. Xanthogranuloma of the sellar region--case report. Neurol Med Chir (Tokyo) 2010; 50 (06) 488-491
  • 15 Liu ZH, Tzaan WC, Wu YY, Chen HC. Sellar xanthogranuloma manifesting as obstructive hydrocephalus. J Clin Neurosci 2008; 15 (08) 929-933
  • 16 Sulentić P, Cupić H, Cerina V, Vrkljan M. Xanthogranuloma of the sellar region in a patient with sarcoidosis. Acta Clin Croat 2010; 49 (01) 61-65
  • 17 Kamoshima Y, Sawamura Y, Motegi H, Kubota K, Houkin K. Xanthogranuloma of the sellar region of children: series of five cases and literature review. Neurol Med Chir (Tokyo) 2011; 51 (10) 689-693
  • 18 Agarwal A, Agarwal K, Lee HK. Xanthogranuloma of the sellar region. A case report. Neuroradiol J 2012; 25 (02) 181-184
  • 19 Nishiuchi T, Murao K, Imachi H. , et al. Xanthogranuloma of the intrasellar region presenting in pituitary dysfunction: a case report. J Med Case Reports 2012; 6: 119
  • 20 Tsai TS, Tsui YK, Wu MWL. , et al. Xanthogrnauloma of sellar region: a case report with diagnostic imaging findings, treatment response and literature review. J Radiol Sci 2012; 37: 89-94
  • 21 Amano K, Kubo O, Komori T. , et al. Clinicopathological features of sellar region xanthogranuloma: correlation with Rathke's cleft cyst. Brain Tumor Pathol 2013; 30 (04) 233-241
  • 22 Miyajima Y, Oka H, Utsuki S, Fujii K. Rathke's cleft cyst with xanthogranulomatous change--case report. Neurol Med Chir (Tokyo) 2011; 51 (10) 740-742
  • 23 Madan Mohan B, Mohamed E, Jain SK, Jain M, Jaiswal AK. Serial MR imaging in suprasellar xanthogranuloma: growth pattern and new lesions. J Neuroimaging 2015; 25 (04) 677-679 . doi: 10.1111/jon.12170
  • 24 Burger PC, Scheithaeur BW, Vogel FS. Surgical Pathology of the Nervous System and Its Coverings, 3rd ed. New York: Churchill Livingstone; 1991: 537-545
  • 25 Al-Khalidi H, Hawkins C. Histopathological features of common pediatric brain tumors. In: Mehta MP. , ed. Principles & Practice of Neuro-Oncology: A Multidisciplinary Approach. New York: Demos Medical Publishing; 2010: 204-214
  • 26 Rushing EJ, Giangaspero F, Paulus W. , et al. Craniopharyngioma. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK. , eds. WHO Classification of Tumors of the Central Nervous System, 4th ed. Lyon, France: IARC Press; 2007: 238-240
  • 27 Kleihues P, Cavenee WK. , eds. Pathology and genetics of tumours of the nervous system. World Health Organization Classification of Tumours. Lyon, France: IARC Press; 2000