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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 210-213
DOI: 10.4103/ajns.AJNS_166_19
Case Report

Trans-nasal trans-sphenoidal endoscopic resection of spindle cell oncocytoma of adenohypophysis: The first case report in a child and a review of literature

Mohammad Samadian
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Seyad Mousavinejad
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Shahrokh Khoshsirat
1   Department of ENT, Skull Base Research Center, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Mahmood Dehghan
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Guive Sharifi
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Kaveh Ebrahimzadeh
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
,
Omidvar Rezaei
Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran
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Spindle cell oncocytoma (SCO) is a rare tumor of adenohypophysis, arising from the sellar region. So far, about 35 cases of SCO in the sellar region have been reported. In this report, we present the first case of pediatric SCO and review the literature concerning the tumor origin, clinical presentations, radiological features, and treatment modalities. An 8-year-old male was referred to our clinic with progressive visual loss in the left eye and headache over the past 6 months. Cranial magnetic resonance imaging revealed a solid adenohypophysis mass with suprasellar extension, as well as compression and displacement of the optic chiasm. The patient underwent endoscopic trans-sphenoidal resection of the tumor. The tumor was diagnosed as SCO based on the histological study. He did not receive radiation therapy. The patient's condition remained stable, with no radiological recurrence in the past follow-up 2 years after the surgery.

Key-words:

Adenohypophysis - sellar region - spindle cell oncocytoma - trans-sphenoidal

Financial support and sponsorship

Nil.




Publication History

Received: 06 June 2019

Accepted: 20 December 2019

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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