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- Title
Approach to the Patient: Differential Diagnosis of Cystic Sellar Lesions.
- Authors
Gadelha, Mônica R.; Wildemberg, Luiz Eduardo; Baranski Lamback, Elisa; Alvares Barbosa, Monique; Kasuki, Leandro; Ventura, Nina
- Abstract
Cystic lesions arising in the sellar region are not uncommon and encompass cystic pituitary adenomas, Rathke cleft cysts, craniopharyngiomas, and arachnoid cysts. Their clinical presentation may be similar, including headache, visual field defects, and anterior pituitary hormone deficits, which makes differential diagnosis challenging. On the other hand, imaging features may indicate certain pathologies. In this approach to the patient, we describe the case of a patient who presented with right temporal hemianopsia and a sellar/suprasellar cystic lesion, which was determined to be Rathke cleft cyst. We discuss the imaging characteristics that may suggest a particular diagnosis between Rathke cleft cyst, cystic pituitary adenoma, craniopharyngioma, and arachnoid cyst and propose a flowchart for aiding in the imaging differential diagnosis.
- Subjects
PITUITARY cancer; HEADACHE
- Publication
Journal of Clinical Endocrinology & Metabolism, 2022, Vol 107, Issue 6, p1751
- ISSN
0021-972X
- Publication type
Article
- DOI
10.1210/clinem/dgac033