open access

Vol 24, No 5 (2019)
Published online: 2019-09-01
Submitted: 2019-03-02
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Cavernous sinus haemangioma with intrasellar extension mimicking non-functioning pituitary adenoma – A case report and review of literature

Dorota Księżniak-Baran, Sławomir Blamek, Agata Roch-Zniszczoł, Wojciech Osewski, Maja Jędrzejewska
DOI: 10.1016/j.rpor.2019.07.001
·
Rep Pract Oncol Radiother 2019;24(5):458-461.

open access

Vol 24, No 5 (2019)
Published online: 2019-09-01
Submitted: 2019-03-02

Abstract

Fifty-three-year-old male suffering from a presumptive non-functioning pituitary adenoma was qualified for stereotactic radiosurgery in our institution. Two attempts of surgical treatment were taken three months before radiotherapy. Excessive bleeding did not allow to remove the tumour or to take samples for histopathological examination. Diagnosis was put on the basis of radiological assessment and lack of hypersecretion of pituitary hormones. However, radiological reevaluation in our Institute revealed the presence of a well-bounded tumour invading the cavernous sinus with high contrast enhancement in FLAIR and T2-sequence. Moreover, a constriction of the normal pituitary gland with tumour mass was seen. The imaging features of the lesion finally led to diagnosis of cavernous sinus haemangioma with intrasellar expansion. The patient received radiosurgical treatment with the use of linear accelerator (LINAC). A dose of 7Gy in one fraction was administered to achieve satisfactory local control, prevent potential further bleeding and reduce the risk of progressive neurological deficits. Stable size of the tumour and absence of any complications are confirmed in six years of follow-up.

Abstract

Fifty-three-year-old male suffering from a presumptive non-functioning pituitary adenoma was qualified for stereotactic radiosurgery in our institution. Two attempts of surgical treatment were taken three months before radiotherapy. Excessive bleeding did not allow to remove the tumour or to take samples for histopathological examination. Diagnosis was put on the basis of radiological assessment and lack of hypersecretion of pituitary hormones. However, radiological reevaluation in our Institute revealed the presence of a well-bounded tumour invading the cavernous sinus with high contrast enhancement in FLAIR and T2-sequence. Moreover, a constriction of the normal pituitary gland with tumour mass was seen. The imaging features of the lesion finally led to diagnosis of cavernous sinus haemangioma with intrasellar expansion. The patient received radiosurgical treatment with the use of linear accelerator (LINAC). A dose of 7Gy in one fraction was administered to achieve satisfactory local control, prevent potential further bleeding and reduce the risk of progressive neurological deficits. Stable size of the tumour and absence of any complications are confirmed in six years of follow-up.

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Keywords

Haemangioma; Cavernous sinus; Pituitary adenoma; Radiosurgery; Stereotactic radiotherapy

About this article
Title

Cavernous sinus haemangioma with intrasellar extension mimicking non-functioning pituitary adenoma – A case report and review of literature

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 24, No 5 (2019)

Pages

458-461

Published online

2019-09-01

DOI

10.1016/j.rpor.2019.07.001

Bibliographic record

Rep Pract Oncol Radiother 2019;24(5):458-461.

Keywords

Haemangioma
Cavernous sinus
Pituitary adenoma
Radiosurgery
Stereotactic radiotherapy

Authors

Dorota Księżniak-Baran
Sławomir Blamek
Agata Roch-Zniszczoł
Wojciech Osewski
Maja Jędrzejewska

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